Tyler G. James, PhD, MCHES

@tylergjamesphd.bsky.social

Science advocate. Assistant professor of family medicine UMich. Disability and deaf health equity, social and legal epidemiology, CHARGE syndrome, and mixed methods. Views own. He/him. www.tylergjames.com

Not a good match day for primary care; all filled fewer positions this year than last. We need more doctors; OECD (wealthy developed countries) average is 3.9 practicing physicians per 1,000 population; US has 2.7 (Germany 4.7, Italy 5.4, France 3.9). Ugh.

Internal Medicine offered 11,632 categorical and primary positions — 280 more than in 2025 — and filled 11,078 positions, resulting in a 95.2 percent fill rate, a 1.6 percentage‑point decrease from last year.
Internal Medicine-Pediatrics offered 404 positions — six more than in 2025 — and achieved a 100 percent fill rate, a 0.8 percentage‑point increase from prior year.
Pediatrics offered 3,185 positions this year — eight fewer than in 2025 — and filled 3,006 positions, resulting in a 94.4 percent fill rate, a 0.9 percentage‑point decrease from last year.
Family Medicine offered 5,491 positions in 2026 — an increase of 134 from 2025 — but the fill rate declined from 85.0 percent to 83.6 percent, leaving 899 positions unfilled; despite this decrease, the total number of applicants matching into the specialty increased compared with the prior year.

There are many problems with this statement from Director Bhattacharya. (1) As @michaeldgreen.phd notes, applicants have no option to requests multi-year funding. An applicant may request a front-loaded budget with more funding in early years with justification (may or may not be approved). 1/6

Michael D. Green, PhD@michaeldgreen.phd · 7mo ago

Bhattacharya on multi-year funding: “Sometimes for early-career scientists what you need is a front-loaded grant because they’re building their lab and so they can’t wait until year two or three to get the money, so it’s scientifically justified,” When you apply you don’t get to request MYF…

As I said in the Senate last year, "Dismantling #AHRQ will have nationwide consequences. It weakens evidence-based care. It hinders health care from addressing emerging threats and dismantles grant programs that support current research and the training of future researchers." #Healthcare

We are a rogue state, run by a dictator, and the international community should treat us as such including all appropriate economic and diplomatic sanctions