So you're saying it's getting harder to match at the top programs but easier to match overall? I'd buy that.voltron said:The numbers show that anesthesia is actually less competetive. I think that the caliber of applicants is what is getting better per year, therefore making the competition for big name programs more intense. There are so many spots in anesthesia when you include all the small private hospitals that the chances of not matching anywhere are very slim. But I look at the match list from my school this year, and it's not as impressive as the last, which wasn't as impressive as the last, etc, whereas I know for certain that quality of the applicants has been about the same or maybe even slightly better.