I think you may have missed the original commenter's point. Residents (and medical students) are highly incentivized to publish unrealistic numbers of papers and case reports. One case report doesn't cut it—you need literally dozens of publications to match into some of the most competitive residency and fellowship programs. The NRMP (match organizer) publishes a document every 2 years that summarizes all of these stats. The 2024 version is in the link below, and page 12 supports what I'm saying.
https://www.nrmp.org/wp-content/uploads/2024/08/Charting_Out...
27.7 works to match derm. Holy crap that’s a lot. No way. We would be gods of skincare by now.
This is another example of Goodhart's law in action, right?
Weirdly Pediatrics (chart 7) skews the other way (less publications tended to get into residency programs)? Are those doctors/administrators/programs somehow seeing through the nonsense?