Healthcare Workforce TrainingTraining Issue

Opposition to matching US medical graduates to residency positions one to one

April 1, 2026Bryan Carmody

Bryan Carmody argues the system should not aim for parity between US medical graduates and residency slots, citing practicalities and second-order effects that would follow from eliminating the current mismatch.

We really DON'T want a system in which the number of U.S. medical graduates equals the number of residency positions
and the reasons why should be obvious if you think about the practicalities and second-order effects.
We really DON’T want the number of U.S. medical graduates to equal the number of residency positions.
Bryan Carmody
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