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FellowshipsFellowships are defined by the Accredited Council for Graduate Medical Education (ACGME) as training in subspecialty graduate medical education programs. There are a variety of fellowship programs available in different specialties. These include:
Most of the fellowship training begins after successful completion of their residency. Some of these programs are ACGME accredited, while others are not.
Most applicants start their fellowship application during the second year of residency. The selection criteria include:
- Strong research background with publications if possible
- Strong recommendation letters from the residency program directors and faculty supervisors of the specialty
- Good clinical and academic performance during residency training
- Good interviewing skills
Each subspecialty has its own application process and deadlines, so it is best to check with the individual programs you are interested in. In general, some fellowship programs operate through the NRMP match, and some operate more like normal job interviews, where they offer or deny positions after each interview. See the NRMP fellowship match website http://www.nrmp.org/fellow/index.html for more information. Generally for the programs that participate in the Match, applicants submit their applications in November/December, interview in March/April, submit their rank lists in May, and match at the end of June. Keep in mind that you match to a program more than a year before your start date, so you must plan ahead. The rest of the specialties do not participate in the Match, and use their own timeline. For example in GI, typically, applicants submit their application in August-September, interview September-November, and hear about their acceptances/rejections while they are interviewing. So most people accepted know where they will be more than 18 months before the start of their fellowship. The timeline of the other subspecialties is generally: submit application October/November; interview and hear about offers December-February. Competitive Fellowships in Internal Medicine
Most Competitive:
Cardiology
Gastroenterology
Allergy and Immunology
Moderately Competitive:
Pulmonary
Nephrology
Hematology/Oncology
Mildly Competitive:
Infectious Diseases
Endocrinology
Rheumatology
Geriatric Medicine
In 2000-2001, approximately 41% of graduating internal medicine residents went on to pursue different fellowships. It appears that in recent years since 2000, the percentage of IM graduates going on to fellowships is increasing, as the number of fellowship positions/1st year fellows are growing at a faster rate than the number of IM residency positions.
Number of first year fellows
In the year 2003-2004
Cardiology: 737
Gastroenterology: 498
Pulmonary: 73
Critical Care Medicine: 100
Pulmonary/Critical Care: 394
Nephrology: 420
Endocrinology: 243
Hematology: 17
Oncology: 66
Hematology/Oncology: 439
Infectious Diseases: 329
Rhemuatology: 171
Rhematology/Allergy and Immunology: 7
Geriatrics: 306
Fellowships 2002:
Cardiology:
No. of programs: 175
Total no. of fellows: 1,999
16.7% female
64.0% USMG
32.9% IMG
0.5% Canadian
2.6% DO
Interventional Cardiology:
No. of programs: 96
Total no. of fellows: 121
6.6% female
52.1% USMG
42.1% IMG
4.1% Canadian
1.7% DO
Cardiac Electrophysiology:
No. of programs: 77
Total no. of fellows: 103
8.7% female
48.5% USMG
41.7% IMG
3.9% DO
Critical Care Medicine:
No. of programs: 32
Total no. of fellows: 140
21.4% female
33.6% USMG
57.9% IMG
2.9% Canadian
5.7% DO
Endocrinology:
No. of programs: 118
Total no. of fellows: 437
52.6% female
57% USMG
40.0% IMG
2.3% DO
Gastroenterology:
No. of programs: 155
Total no. of fellows: 1,058
21.3% female
65.9% USMG
29.6% IMG
3.9% DO
Geriatric medicine:
No. of programs: 100
Total no. of fellows: 327
52.9% female
45.0% USMG
52.3% IMG
2.1% DO
Hematology:
No. of programs: 20
Total no. of fellows: 72
54.2% female
47.2% USMG
50.0% IMG
1.4% Canadian
1.4% DO
Oncology:
No. of programs: 27
Total no. of fellows: 199
35.7% female
58.8% USMG
38.7% IMG
2.5% DO
Hematology and oncology:
No. of programs: 115
Total no. of fellows: 911
39.5% female
47.2% USMG
39.8% IMG
0.7% Canadian
3.2% DO
Infectious diseases:
No. of programs: 139
Total no. of fellows: 625
42.4% female
56.2% USMG
40.0% IMG
1.4% Canadian
2.2% DO
Nephrology
No. of programs: 128
Total no. of fellows: 711
35.7% female
56.4% USMG
38.1% IMG
0.8% Canadian
4.6% DO
Pulmonary disease:
No. of programs: 31
Total no. of fellows: 114
21.9% female
17.5% USMG
78.1% IMG
4.4% DO
Pulmonary disease and critical care:
No. of programs: 121
Total no. of fellows: 995
24.8% female
57.6% USMG
37.8% IMG
0.5% Canadian
3.9% DO
Rheumatology:
No. of programs: 106
Total no. of fellows: 307
51.8% female
59.0% USMG
35.8% IMG
0.7% Canadian
4.6% DO
IM and Peds fellowships:
Allergy and immunology:
No. of programs: 70
Total No. of fellows: 255
49.4% female
77.6% USMG
19.6% IMG
0.4% Canadian
2.4% DO
Fellowships
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The United States Medical Licensing Examination (USMLE) is a three-step examination for medical licensure in the United States. The Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME) sponsors USMLE.
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