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But those residencies are not growing in number, and the real problem is not saturation but rather distribution where most people want to stay in popular big cities. Right now the priority is being shifted to primary care, which is nowhere near saturated. As doctors, we are fortunate enough to be able to have the hindsight perspective of both law and podiatry and the effects of allowing over saturation. I think that one of the hidden benefits of the merger is that now the ACGME will have influence over the DO expansion, so we'll likely see this exponential growth in schools to drastically slow down after things are fully merged in 2020.Why not? There are some specialties already experiencing saturation with several more concerned they will soon be as well