For almost 20 years, otolaryngology–head and neck surgery (OTO-HNS) has remained one of the most competitive specialties in medicine.1 Recently, it has been one of the most difficult specialties in which to match, based on mean US Medical Licensing Examination Step 1 scores, match rates, and number of applicants per position.2 As matching has become more difficult, the number of programs to which applicants apply has steadily increased. Program directors (PDs) have viewed this inundation of applications as “a great problem for the field of OTO-HNS.”3(p1014)