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Oftentimes, residency programs do not openly rank their residents, and although Mayo didn’t reveal which residents were “high ranking” versus not, I felt it was still a bold move to admit that you ranked 50 of your residents against each other. Obviously this article has weaknesses. The “scores” are likely very subjective and biased. Without using an objective scoring system that has been validated, it is difficult to use or interpret the scores. I do find intriguing however is this notion that

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