Residency question

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I feel like everyone always talks about how there aren't enough residency spots. So how come this chart shows that there are residencies that weren't filled?

http://b83c73bcf0e7ca356c80-e8560f4...Specialty-Match-Program-Results-2010-2014.pdf

The spots that are un filled every year are generally those that are one year, or very malignant positions. In the coming years, the number of us grads will meet or exceed the positions in residency because med schools are increasing enrollment wittout residencies increasing positions.
 
The spots that are un filled every year are generally those that are one year, or very malignant positions. In the coming years, the number of us grads will meet or exceed the positions in residency because med schools are increasing enrollment wittout residencies increasing positions.

What does it mean for a position to be "malignant"?
 
What does it mean for a position to be "malignant"?

Programs that have a bad reputation (e.g., dismissing residents, poor/limited support from attendings, poor clinical experiences, etc.). I hope I'm not generalizing too much, but generally they tend to be smaller community programs and are usually filled by weaker students and IMGs.
 
What does it mean for a position to be "malignant"?

As above, a program is generally considered malignant if it's clear you are there to work work work, and not to learn. If you're doing a ton of scut work (there's some amount that you'll have to do regardless, but if you're doing so much that it's taking away from your education...). If there is a history of dismissing multiple residents, having attendings that are hard to work with, etc, that can also indicate a malignant program.
 
Also, the PDF you posted is of fellowship positions, not residency positions. But of course, there are always unmatched spots for residency due to the way the match system works. Most of those spots are filled during the SOAP process.
 
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