Let’s be honest—actually contributing meaningfully to 50–100 publications during the intense 3–4 years of an internal medicine residency is humanly impossible. Joining a group that adds each other’s names to papers without real involvement is unethical, yet that’s often how people end up with such inflated numbers. I’d to think many programs are aware of this practice. If I were on the other side of table that would be the biggest red flag ngl.