In May 2002, Mr. Marek filed the well-known antitrust class action against the National Resident Matching Program (NRMP), Accreditation Committee for Graduate Medical Education (ACGME), American Board of Medical Specialties (ABMS), and dozens of the largest teaching hospitals in the United States. On behalf of tens of thousands of medical residents and fellows nationwide, Mr. Marek’s lawsuit sought higher wages and lower work hours through the forced elimination of “the Match” and other restrains on competition. One month after Mr. Marek filed the lawsuit, the defendants quickly adopted work hour limits for medical residents nationwide. While these “voluntary” limits have helped protect residents for many years, those limits and other oversight mechanisms have deteriorated over time with corresponding harm to residents and fellows.