All of the students' names were called individually for their brief "moment of fame," during which they received an envelope and applause from friends.
The envelope contained the name of the hospital where each student will be working next year.
Match Day, as the ceremony is called, began with a few words from Jeffrey Houpt, dean of UNC's School of Medicine. He said 47 of the 153 students' residencies will be in North Carolina, with 26 at UNC Hospitals.
As students discovered where they would be working, they shared many hugs, smiles and abrupt screams. After the last student's name was called, there was a large, final round of applause, complete with shouts of joy.
In the past, about 60 percent of UNC medical students got their first choice for residency and about 85 percent got one of their top three choices, Houpt said.
He said the medical school is not tracking similar statistics for this year.
Georgette Dent, associate dean of student affairs for the medical school, said students apply for residencies during the summer before their last year of medical school and interview during the winter.
Students then submit their top preferences for residencies along with 16,000 other medical school seniors across the nation.
These seniors and 19,000 other independent candidates compete for 23,000 residencies. The hospitals and candidates rank their top choices, and a computer program matches applicants with residencies.