It depends on how badly you want to do ophthalmology. It is not unreasonable to apply only to ophthalmology if one's record is decent then dual apply the next time, particularly if the second choice specialty is not too competitive.
Step 1 scores and grades are not spectacular but it can partly be offset by good recommendations and good physical appearance. Do not laugh, looks matter. In the case of men, height + not too fat + looks. I plead guilty, meaning my looks is not hideous and greater than the 50th percentile but not in the 99th percentile.
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very competitive residency program
versus
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not a competitive family medicine residency program
The 2 residency programs were selected then photos sought, not vice versa. So not cherry picked.