No offense John, but your statements and advice are typical of someone who has been out of touch with academic ophthalmology for a long time (i.e. your statement about trying to learn re whats going on via the internet, etc. ). I have been around ophthalmology all my life and when I was in your daughters shoes this is the same advice I was getting from docs at your level. Nowdays, it's actiually much more complex that that. Do you want to do academics? Going to a place with lots volume, VAs, etc. and not a good name, won't help you career, sorry. Same goes if you want to work for the goverment, NIH, NEI, etc. Going to Wilmer or a like institution will open LOTS of doors. es, it's not an easy residency and they are heavily geared towards a career in academics, but you rip the benefits after. Ex: most Wilmer grads for the last 10 years get #1 choice of fellowship (a few get 2nd). It's not a cush residency by any means and you do work hard but you don't get "abused" as you suggested (I am actually not sure what that means). In my opinion, part of the problem is the selection of particular residents; I think Wilmer needs to revamp their way of selecting/ranking and do a better job identifying appropriate candidates for the program (not just someone who scored 280 on USMLE step I). Overall, I think it's a great program. Ophthalmology world is small and you do become a part of a very exclusive "club" for the rest of you career. Besides, there is nothing like seeing a patient's name change and saying "Oh, ok" when you tell them you trained at Wilmer. That's an almost daily occurrence for me 🙂