It's official. Pathology is the worst of the worst. The bottom of the barrel. Statistics for the 2017 match are available on the NRMP website. This year, a paltry 231 US medical graduates applied for pathology residency positions. 35.9% of all pathology residency slots were filled by US applicants this year. That’s nearly 10 percentage points less than the next lowest major specialty -- family medicine, with 45.1% of positions filling with US grads. 21% of all pathology training programs in the US went unfilled. In recent years Pathology has been commoditized like no other specialty and US grads are taking notice. They are avoiding our specialty in droves.