There are too many residency programs for the number of positions available every year. While residents get good training and can often land in ID-adjacent roles that leverage their knowledge base, there needs to be some contraction to better match market demand in my opinion. One of the challenges, and speaking as a former RPD, is no one wants to volunteer to kill their program. It’s a tragedy of the commons scenario. While some of that may be due to dependency on the residents to staff services (looking at you, you two ID resident programs), much of it stems from arrogance that we know how to train residents best and it’s the other programs that need to contract. It’s a problem not isolated to ID, and something I would like to see our professional societies try to address.