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The start of a new academic year in graduate medical education will mark a transition for postgraduate year 1 (PGY-1) residents from medical school into residency. The relocation of individuals has significant implications given the COVID-19 pandemic and variability of the outbreak across the United States, but little is known about the extent of the geographic relocation taking place. We reported historical trends of PGY-1 residents staying in-state and those starting residency from out-of-state to quantify the geographic movement of in