Knock Knock Eye: Research Hot Takes: Medical Student Research Should Be Banned

I've got a love-hate relationship with research, and this week I finally get into why. I'll read a study, I'll watch a talk, I genuinely enjoy learning about it, but performing research myself has never been my thing, and I get into the whole story of how I ended up doing it in med school anyway purely to check a box. Then I break down the newest NRMP match data, and the numbers are insane. We're talking applicants matching into ortho and neurosurgery with over a hundred research experiences and dozens of publications, and I explain why I think this whole system has turned into a predatory arms race that has very little to do with becoming a good doctor.

After that, I get back to some actual eyeball content. I dig into a fascinating study out of Portugal on wind instrument musicians and their eye pressure, and it turns out playing high-resistance instruments like trumpet, oboe, and French horn can cause real spikes in intraocular pressure, potentially even mimicking a condition called normal pressure glaucoma. I walk through some of the older research on this topic too, and honestly, it's the first time in ten years of practicing ophthalmology that I've even heard about it. If you're a serious wind player, this one's worth a listen.

Takeaways:

• The number of research experiences, abstracts, and publications reported by matched medical residency applicants has climbed to levels that go far beyond what's needed to become a good clinician.
• Doing research as a medical student is not a requirement for becoming a skilled doctor.
• Wind instrument players, especially those using high-resistance instruments like trumpet, oboe, and French horn, can experience measurable spikes in intraocular pressure while playing.
• Chronic pressure spikes in musicians could potentially be misdiagnosed as normal pressure glaucoma if a patient's musical background isn't factored into their history.
• Professional musicians who play high-resistance instruments at a high level may benefit from routine glaucoma screening.

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