grades

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Per your prior posts, you have stated you're a high school student. I would say that for college, medical school, and any medical specialty, the better you perform in your coursework, the better your chances of achieving your desired goal. Was every ophthalmologist at the top of his/her medical school class? Of course not. Are there some who were in the top 10% of their respective classes who did not match into ophthalmology (if it was their chosen specialty)? Probably, but I would wager not many. Excel in your studies, and you should be able to have your choice of career pursuits. Struggle in your studies, and you will likewise struggle to achieve your goals. It's that simple.
 
Visionary provides great advice above.

I will also add that there are many qualities that make an outstanding ophthalmologist asides from "grades". I had above average grades, but not perfect. My MCAT had weaknesses too, including a 7 in verbal. However, I was able to make up for my weaknesses with my love for research, several peer-reviewed papers published in college, and amongst many other things... including my entrepreneurial spirit.

Achieving perfect grades and scores will not guarantee your acceptance. Admission committees are looking for more than just "perfect scholars".

Consider this discussion between the program directors at Johns Hopkins and USC, along with Andrew Lee, MD.

http://digitalmagazinetechnology.com/a/?KEY=JAO-volume4-01#page=9
 
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