There's no matching process at the beginning of medical school, but there is for assigning med school graduates to residencies. This variant of the problem is NP-hard, so there's no exact solution, but matching still works pretty well. https://web.stanford.edu/~alroth/papers/rothperansonaer.PDF has all the details.
When you are referring to this "variant", are you referring to maximal matching, or bipartite matching when the number of people and schools don't equal?
Not the parent, but I think they refer to the fact that with admissions, matches are permanent (once a student accepts a school's offer, said offer can't be rescinded), while Gale-Shapely requires provisional pairings until all the rounds have been gone through and a final result is available.
