Relationship Between Wages and Presence of a Match in Medical Fellowships
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To the Editor: There is ongoing litigation about whether the National Resident Matching Program (NRMP) restrains competition for residents and suppresses wages.1 Although the legal issues have been discussed in detail,2-3 the basic economic question is whether a market organized by a match results in lower wages than if there were no match. We compared similar markets for postgraduate medical fellowships that operate with and without a match.
Methods
Some subspecialties of internal medicine use the Medical Specialties Matching Program (MSMP), while others use no centralized match. We purchased from the American Medical Association the Graduate Medical Education Directory, 2002-2003 data set of fellowship wages by program,4 and compared all internal medicine subspecialty fellowships in the United States requiring 3 years of prior residency. Of the 1249 directory entries representing 14 subspecialties in 209 hospitals, 1178 include wages. Sports medicine was excluded because there are only 2 internal medicine programs in . . . [Full Text of this Article]
Muriel Niederle, PhD
Department of Economics
Stanford University
Stanford, Calif
Alvin E. Roth, PhD
Department of Economics
Harvard University
Cambridge, Mass
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