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Over 42,000 applicants registered for the 2016 NRMP Match, making it the largest Match on record. Competition is intense, and some applicants are unsuccessful. In competitive fields such as general surgery, dermatology, plastic surgery, and orthopedic surgery, over 25% of U.S. senior allopathic applicants failed to match. The numbers are significantly worse for osteopathic and international medical graduates (IMGs). As an applicant, your goal is to match into your preferred specialty, and ideally your preferred program. The evidence indicates that it has never been more difficult to reach these goals. Over a decade ago, in response to an anticipated physician manpower shortage, allopathic and osteopathic medical schools increased student enrollment. New schools were also established. However, the number of residency positions has not risen at a commensurate level. As more and more graduates have entered the Match, the competition for available residency positions has intensified.
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