Has anyone ever used resident swap and if so, what level of difficulty was encountered when dealing with NRMP violations? It seems to me that even if there were two PGY-2 residency matched candidates that decided they were interested in switching locations, there would still be a slight obstacle to overcome. This would be the actual residency program director/coordinator. Of course, having a resident who is actually happier at your program makes a lot of sense, however is it not the decision of the "program" to allow this breach of contract to occur? Are there special provisions made for programs and/or candidates that wish to pursue this effort? Are programs willing to accept a violation on their record in the action of gaining a more suitable candidate? The whole residentswap thing seems to violate the NRMP code in a major way, but if anyone has been down this road and seen it work, I'd appreciate a little insight.