Although it is just one simple sheet of paper printed with plain type in a plain envelope—not hand-made parchment covered in flowing calligraphy and embossed in gold—the letter a fourth-year medical student receives on Match Day is perhaps the most eagerly anticipated document of his or her medical career. The letter from the National Resident Matching Program (NRMP) has the power to elicit excited screams, tears of joy and stunned relief from students who have been waiting weeks to discover where they will begin their residencies and their medical careers. Read the full article.