Is my impression correct that in order to match in ophthalmology you pretty much have to know that you want it and start working for it (with research, connections, extracurriculars) from day 1? I know people who are going into other competitive specialties, like radiology, who decided late in their third year, and still got in. But it seems like ophtho is much harder since you need substantial research, a fantastic dean's letter, and you need to be AOA. It seems that you choose this specialty early in medical school or you miss out -- there is no second chance. Does anyone have any thoughts or comments about this? Thanks!!