Airline medical exams are either gone (they photocopy your FAA 1C), or a few still give you a straight FAA 1C exam, as opposed to the astronaut physicals of yore.

Instead of interviewing 30 and hiring 0-3, they try to do a lot of analysis and screening based on the data in your app and their own statistics. It's harder to get the call, but if you do it means they intend to hire you unless you screw it up (or some background irregularity is discovered).

It used to predictable when you got called to interview (X amount of TPIC at a commuter). Now some folks get called by DAL out of the blue with very low experience, while other eminently qualified and experienced pilots cannot even get called by the worst of the LCCs. But the dust is settling a bit, some of the majors have been burned by their HR's experimental hiring paradigms so they seem to be shifting back a bit to traditional metrics. Seems that now an experienced RJ CA who does all the right things will get called with 8-10K hours and at least 2K 121 PIC. Caveat is that he might need a recent training event/type rating which is not practical for everyone.