Nearly all US graduating senior medical students enter the National
Residency Matching Program (NRMP) to obtain their first residency post graduate year one (PGY-1) position.
As Katz et al (11) point out in a study concerning inadequacies on emergency medicine residency applications, the residency program discovering misrepresentation may only act on the information internally, and discussion of applicants among programs could be viewed as unethical by the National
Residency Matching Program.
Canadian
Residency Matching Service (CaRMS) data from the mid-1990s to present indicate this recruitment remains challenging, with a steady annual rate of 1% of Canadian medical graduates applying to the specialty and no more than four students from any medical school graduating class being matched to the specialty.