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December 16, 1992

Integrity in the National Resident Matching Program

Author Affiliations

University of Alabama School of Medicine Birmingham

JAMA. 1992;268(23):3315. doi:10.1001/jama.1992.03490230045017

To the Editor.  —As chairman of the resident selection committee of a large university anesthesiology residency program, I eagerly awaited this year's match results. As usual, there were several individuals we strongly anticipated matching, who selected different programs. These candidates communicated with our faculty and/or residents by letter or phone expressing strong interest in our program. Most wrote several letters and phoned making statements about their intention to rank our program first on their match list.Each year we are amazed at the manipulative behavior of some of our applicants. They often don't tell the truth. The intensely competitive nature of obtaining postgraduate training may be their justification. Like competing for employment in the business world, they will tell their prospective employer anything just to get the job! The fear and embarrassment of not "matching" is a compelling motivation.Part of our duty as physician educators is to be role