The ERAS Death Spiral

For over two decades, the Electronic Residency Application Service has been the AAMC’s cash cow. As “Application Fever” intensified, fees paid by desperate residency applicants trying to get a job subsidized a dramatic expansion of the AAMC’s services. But now, that business model is under threat from new competition and an important change in the residency selection process. This video explains the threats to ERAS - and how they could result in big changes for the AAMC.

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NOTES:

1. Here are the other Sheriff of Sodium videos I referenced in the video:

ERAS and Financial Conflict of Interest at the AAMC
   • ERAS and Financial Conflict of Intere...  

The OB/GYN - ERAS Divorce: Winners & Losers Edition
   • The OB/GYN - ERAS Divorce: Winners & ...  

The ERAS Preliminary Data Drop: Winners & Losers Edition
   • The ERAS Preliminary Data Drop: Winne...  

The Applicant’s Guide to Strategic Preference Signaling
   • The Applicant’s Guide to Strategic Pr...  


2. Here are the AAMC press releases I mentioned:

“AAMC Establishes New Fee Structure for 2025 ERAS Residency Application Season”
https://www.aamc.org/news/press-relea...

“AAMC Fee Assistance Program Expanding With 60% ERAS Application Discount”
https://www.aamc.org/news/press-relea...


3. Here’s the paper recommending ‘big signaling’ for internal medicine programs:

Catalanotti JS, et al. Rethinking the Internal Medicine Residency Application Process to Prioritize the Public Good: A Consensus Statement of the Alliance for Academic Internal Medicine. Am J Med 2023; online ahead of print.

https://www.sciencedirect.com/science...

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MUSIC:
“Clutch,” by Nicolas Major.