I don't see anything wrong with that by itself; with the amount of patients doctors see there should be one once in a while that is worth reporting. Or are such cases so rare that the doctor is incentivized to lie?
https://www.nrmp.org/wp-content/uploads/2024/08/Charting_Out...
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?