The obvious question I have then is why you think the current system is selecting exactly the right number of surgeons? How do you know the next 10% of potential surgeons who don't make it under the current system wouldn't have the IQ/drive/etc to be high quality, effective surgeons?
Fellowships are the last 1-3 year stint of training for specialist docs. There are unfilled training slots in competitive/complex fellowships in many disciplines. The fellowships are choosing not to train because they don’t have qualified applicants.
