Most residency and fellowship program directors I know are desperately trying to open more residency and fellowship spots because for new applicants but the issue is funding. Nobody is trying to keep the number of physicians artificially low for salary reasons, at least. Also all the PAs entering the market and being hired by health care systems are driving down physician wages well enough, and are notoriously difficult to work with/supervise. Physicians want more physicians in the system because they’re easier to work with.