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A Primer on the Game Theory Behind the National Resident Matching Program for the Medical Educator and Student
1Faculty of Health Sciences, McMaster University, Hamilton, Ontario Canada.
Abstract:
Every year, medical students vie for American graduate training through the National Resident Matching Program (NRMP). Some students yet behave in ways that imply persistent misunderstandings about the matching algorithm. This paper explains the economic and mathematical literature underpinning it for a medical audience. The NRMP implements the Roth-Peranson algorithm, finding a stable match by having students propose to residency programs according to their preference ranking. This configuration favors students while disfavoring hospitals. Game-theoretic analysis shows us that students are unequivocally unable to "game the system" by misstating their preferences. Telling the truth is the optimal strategy.
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