During the past 2 decades, the number of US allopathic graduates applying to internal medicine and general surgery residencies has steadily decreased; conversely, the popularity of certain medical and surgical subspecialties has risen dramatically.1 It has been proposed that the perception of a controllable lifestyle accounts for most of this shift.2 In parallel with the changes in applicant interest, the competition for attaining residency positions in these fields has also increased. For example, in the past decade, dermatology has had an almost 2-fold increase in the number of applicants but no substantial increase in available residency positions. The class ranking of students entering dermatology has increased; more than 40% of current dermatology residents have been recognized by Alpha Omega Alpha, a medical school academic honor society.3
Kia KF, Gielczyk RA, Ellis CN. Academia Is the Life for Me, I’m Sure. Arch Dermatol. 2006;142(7):911–913. doi:10.1001/archderm.142.7.911
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