And to GORO and those who felt this was too harsh, especially Goro, ARE THERE ENOUGH RESIDENCY programs, for programs like IM or FM? Or are medical students being fooled out of spending $250,000 or more, with certain programs offering little or NO SUPPORT for M4 students to help with the Match (there are certainly some - not saying Goro's program is one; have no idea). I realize students have to monitor their own progress & ask forhelp, etc. But some programs recognize that, esp since a lot of $$ is made in 3rd & 4th years, they could at least offer some support to give back for the $$ they are getting. I can see why PA or NP programs seem much more enticing