Applying to more and more residencies yields extraordinarily reduced results.
However, by applying to increased residencies, programs will now have more applicants they have to screen with the same number of staff. This causes them to increasingly focus on ‘objective’ metrics such as STEP1 and research achievements which then drives up the competitiveness of the specialty and it then acts as a feedback loop.
The same thing is happening with medical schools. Schools use ‘objective’ measures to screen the applicants as opposed to manually investing in every applicant.
This makes it so that students who are borderline but would otherwise have a compelling story/compelling case to not make it. This disproportionately affects those from lower SES backgrounds and URM status.