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BMC Medical Education· 2026Q1

Effects of residency matching policies on regional distribution of residents: a simulation study using a stable matching algorithm

Hiroo Ide, Yuji Hiramatsu, Yuji Furui, Soichi Koike

Short summary

Simulations using the Gale-Shapley algorithm reveal that adjusting residency positions by up to 20% has a minimal impact on reducing regional physician maldistribution in Japan, with fill rates dropping slightly and regional disparities persisting.

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