I should like to sketch the history and the reasons for what is now the National Intern and Resident Matching Program (NIRMP), to describe its general and specific functions with regard to otorhinolaryngology, and, finally, to be somewhat pejorative in making observations on where the program might go from here.
Graduate medical education (GME) can be divided into three periods: infancy, adolescence, and maturation (which we are now approaching). From the turn of the century when it began, through the 1940s, the internship was the final year of clinical training for most physicians. This was the relatively tranquil infancy period.The adolescent period began immediately after World War II and lasted through the late 1960s. By the middle of the 1940s, the number of internships had proliferated to the extent that they considerably exceeded the number of graduates. Not surprisingly, competition grew among programs. Recruitment efforts began to
Graettinger JS. The Residency Matching Program. Arch Otolaryngol. 1978;104(11):615–619. doi:10.1001/archotol.1978.00790110005002
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