Please note that several items regarding the ophthalmology residency match including the timeline have changed due to the COVID-19 pandemic. Please click the links from the Association of University Professors of Ophthalmology (AUPO) and the SF Match for further details. You may also find these links from the AUPO regarding tips for a successful virtual residency interview and tips for letters of recommendation helpful. Please also note: italicized items below may be different/modified during the pandemic.
Ophthalmology is considered an “early match” specialty due to the annual January match. Thus, prospective ophthalmologists have to make a decision earlier than medical students interested in other specialties.
When should I begin the application process?
It is recommended that the application be completed and submitted by the end of August in an individual’s fourth year of medical school. Interviews typically occur between October and December of that year.
How do I begin the application process?
First, register with the SF Matching Program. The ophthalmology match is sponsored by the Association of University Professors in Ophthalmology (AUPO) All applications are processed through the Central Application Service. You will receive instructions for using CAS after applying to the SF Match in Ophthalmology.
How does the application process work?
The SF Matching Program was established to coordinate applicants with ophthalmology residencies and is separate from the National Resident Matching Program (NRMP). Applicants are matched for post-graduate year two (PGY-2) positions, which begin about 18 months after the match.
The ophthalmology match for PGY-2 positions occurs in January, several weeks before the deadline for the NRMP match for PGY-1 positions. Thus, applicants will know their ophthalmology results before they submit their NRMP rank list. Every effort has been made to conduct this match as late as possible in your medical school career, to permit you sufficient time to make an informed decision and to give medical school deans and faculty time to evaluate students and prepare optimal letters of recommendation.
Some excellent applicants are intimidated by the statistics of the ophthalmology match. When they learn that many programs will have hundreds of applicants for a few places, they assume that they have little chance for success in that match. However, in the most recent match, more than 85 percent of participating U.S. seniors obtained a position. International Medical Graduates (IMGs) have a much greater challenge in obtaining a position, with a match rate of about 6 percent of positions being filled by IMGs. If you are considering a residency in ophthalmology, you should become acquainted as early as possible with the SF Matching Program and the timetable for application procedures.
How do I decide where to apply?
First, consider your own needs and priorities. Some applicants have overriding geographic concerns that guide their application process. Next, seek the advice of faculty and residents in your own ophthalmology department to obtain information about various programs and to help you match your personal interests and academic strengths with the various departments. A program's website can provide additional descriptive information about programs in which you are particularly interested.
After reviewing this information, apply to the programs that interest you. Keep in mind that no program is necessarily beyond your reach. While acceptance into some programs may be easier than others, consider applying to only those in which you have a serious interest.
The residency application process in ophthalmology is considered highly competitive, with an average successful applicant USMLE Step 1 score falling in the 240 to 250 range. The average applicant applies to 70 to 80 programs. However, highly qualified applicants do not appear to statistically benefit from applying to more than 45 programs. The average number of interviews for matched individuals was 12, and 4 for unmatched individuals. Remember that your success in obtaining a position depends on your credentials, not the number of interviews. On the other hand, any applicant, regardless of academic record, should avoid applying to only a very few number of programs.
What do program directors look for in an applicant?
Each program evaluates applicants according to slightly different criteria. All residency programs are concerned with past academic performance (including grades in preclinical and clinical courses in medical school), a well-founded interest in ophthalmology and promising personal characteristics and work habits (as reflected in letters of recommendation). Some programs may place importance on additional factors, such as research experience or career goals. It is easiest to answer this question by considering the perspective of the program director. He or she will have to work with you for multiple years--interacting academically, professionally and personally. If you were the director, how would you evaluate resident candidates?
What about the PGY-1 (internship) year?
All applicants entering ophthalmology training programs must complete a post-graduate clinical year (PGY-1) in an accredited program. The PGY-1 year must include direct patient care experience in fields such as emergency medicine, family medicine, internal medicine, neurology, obstetrics and gynecology, pediatrics, surgery, or a transitional internship. A new requirement by the Accreditation Council for Graduate Medical Education effective July 1, 2021 requires the PGY-1 year be provided in an integrated or joint preliminary program. Most programs have elected a joint program, which requires the applicant register and participate in the National Residency Match Program (NRMP).
How should I schedule my interviews?
Most ophthalmology residency programs conduct their interviews from October to December, most interviewing just a fraction of their total applicants. Some programs will interview candidates in large groups, some will interview only a few on a given day. Others schedule only a single short interview session or construct a full-day program with multiple interviews. Please note that during the COVID pandemic likely all interviews will be virtual. This link will give you tips for a successful virtual residency interview.
Ophthalmology training programs recognize and appreciate that applicants have limited time available for interviews. They also appreciate the cost of the interview process to the applicant. Once a program has decided to interview an applicant, it will generally try to be flexible in scheduling. However, remember that each program has only a limited number of interview days available and will therefore have limited flexibility. After you have been called for your first interviews, contact other programs to which you applied in the same geographic area. Since travel to and from interviews can be costly, it may be possible to arrange interviews so that a minimum of expensive air travel is necessary.
Be aware, however, that some programs may be unable to accommodate your request, since interviews are often scheduled well in advance and only on certain days of the week. Do not take this as a sign of lack of interest in your candidacy. Also, since administrative errors and incomplete applications (e.g., absent letters of recommendation) can occur, call the program if you are unsure of the status of your application.
Finally, when traveling to an unfamiliar city for an interview, try to give yourself some free time to explore the city so as to evaluate not just the program but its environment as well. Check to see if the program has made arrangements for discounted housing or transportation to and from housing locations.
What information about residency training programs is available online?
Many universities with ophthalmology training programs offer descriptions on their websites. You will also have access to program information through the SF Match after registration.
Additional Resources
Advising Students Interested in Ophthalmology: A Summary of the Evidence
Applicants' Choice of an Ophthalmology Residency Program
Ophthalmology Residency Match Summary Report 2020
Ophthalmology Resident Selection: Current Trends in Selection Criteria and Improving the Process
Predictors of Matching in an Ophthalmology Residency Program
Predictors of Matching in Ophthalmology Residency for International Medical Graduates
Probability of Success in the Ophthalmology Residency Match: Three-Year Outcomes Analysis of San Francisco Matching Program Data