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Hi there - sorry not to hijack this thread. I'm a canadian ophthalmology resident interested in surgical retina fellowships in the states.
When people mention research, how many publications is considered a "lot"?
In my experience, step scores are not that important for fellowship match. Some places will ask that you also submit OKAP scores but really, they just want to make sure whoever they take for fellowship will pass the ophthalmology boards. I just went through the fellowship match for surgical retina, which is relatively competitive and I thought the top factors that will decide whether you get into the best fellowship programs are
1. recommendation letters - who are your mentors and will they call to say how amazing you are?
2. research, research, research - the applicants I met at the top places were there because they had amazing research and publications. Presentations at conferences the fall of your application, getting name recognition with fellowship directors, all these things help more than exam scores.
3. name recognition of residency program - top fellowship programs tend to interview and accept many of the applicants from the top residency programs (they were probably amazing to begin with). But you can overcome a mid-tier residency program by being a research superstar.
Sure, study hard and get good scores. But I wouldn't kill myself trying to get 250+ on step 3 or 99th percentile on OKAPs every year. Meaning, if you had to choose between studying for the entire year and doing little else, versus studying but not that intensely so you have time for research and publications, I would choose the latter.
Good luck!