Whipple and colleagues aptly summarized in a recent issue of the Journal of Graduate Medical Education one of the biggest problems with the current National Resident Matching Program (NRMP) Main Residency Match: “As students apply to an increasing number of programs, program directors lose the ability to discern sincere interest.”1 This leads to residency programs creating standardized filters (eg, United States Medical Licensing Examination scores) and conducting less holistic reviews of candidates. In some cases, the status quo inadvertently eliminates applicants with a great interest in their program—who otherwise, if identified, may have been strongly considered by the program. The authors, using an innovative computer model, propose a simple solution: allowing applicants to voluntarily add program preferences.1
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