The number and characteristics of the residents we train will have major implications for the
future of our field and the patients we serve. Something unusual happened in 2019 regarding
the number of unmatched residency positions. Our goal in writing this editorial is to alert
stakeholders and provide information they need to evaluate the issues. We are concerned
about the trend of increasing number of residency positions relative to the number of U.S.
senior applicants. Our colleagues in Otolaryngology are similarly concerned about this trend in
their specialty (5). We strongly recommend that our professional organizations make it a top
priority to closely monitor the data and to develop action plans should unfavorable trends