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Comment & Response
March 2017

Quantifying US Residency Competitiveness in Different Fields—Reply

Author Affiliations
  • 1Department of Medicine, Jackson Memorial Hospital, Miami, Florida
  • 2Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida
  • 3Department of Epidemiology and Biostatistics, University of Georgia, Athens
JAMA Intern Med. 2017;177(3):445-446. doi:10.1001/jamainternmed.2016.9228

In Reply As Mr Sahin correctly points out, our methodology1 differs slightly from that of Ebell in 1989.2 In the 1988 article from which Ebell obtained his data, the number of US medical graduates (USMGs) was not directly reported; it was calculated by subtracting foreign medical graduates (FMGs) from the total number of residents.3 This calculated number of USMGs did not distinguish graduating senior USMGs from previous graduates who were entering the 1987 match. In our recent update,1 the number of USMGs was obtained from 2014 National Resident Matching Program (NRMP) data that grouped all graduating seniors from US allopathic medical schools separately from independent applicants, which included previous graduates of US allopathic medical schools, along with FMGs and other smaller student cohorts.4 Mr Sahin suggests that because prior USMGs are included in the 1989 USMG population and not in our recent article,1 our calculated fill rate is not a fair comparison to 1989 data, thus misrepresenting the competitiveness of each specialty.

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