While there are more residency spots that graduating medical students in the us every year, they do have to compete with foreign grads, of which there are more

While there are more residency spots that graduating medical students in the us every year, they do have to compete with foreign grads, of which there are more than enough. So the us grads can’t be completely and openly incompetent. So some of them do fail to even graduate, and obviously not get residency spots.