That is not my understanding at all, as that would imply we never have med school admissions without a residency slot, and I have seen many mentions over the years about how the great bottleneck is not med school admissions, but residency slots.
The above sources indicate residency matching is decoupled from graduation from Med school, and if I recall correctly, there is actually a legal cap on the number of residency slots.
So everything I've seen suggests we actually have a dysfunctional system with no up front brakes. Our Medical education system maximizes fiscal extraction from hopefuls, but the residency slots don't scale elastically or in any way matched with demand. Quite literally, it seems to take an act of Congress to change the calculus of residency slots.
I could still be wrong, and welcome the removal of the veil of mistaken impressions, but that's the gist of my current understanding.
https://www.fiercehealthcare.com/practices/more-medical-stud...
https://health.wusf.usf.edu/npr-health/2019-07-03/american-m...
The above sources indicate residency matching is decoupled from graduation from Med school, and if I recall correctly, there is actually a legal cap on the number of residency slots.
https://www.aha.org/news/headline/2019-03-14-bill-add-15000-...
So everything I've seen suggests we actually have a dysfunctional system with no up front brakes. Our Medical education system maximizes fiscal extraction from hopefuls, but the residency slots don't scale elastically or in any way matched with demand. Quite literally, it seems to take an act of Congress to change the calculus of residency slots.
I could still be wrong, and welcome the removal of the veil of mistaken impressions, but that's the gist of my current understanding.