<p>Chillbro: <a href=“http://www.nrmp.org/data/resultsanddata2011.pdf[/url]”>http://www.nrmp.org/data/resultsanddata2011.pdf</a> and <a href=“http://www.nrmp.org/data/resultsanddatasms2011.pdf[/url]”>http://www.nrmp.org/data/resultsanddatasms2011.pdf</a></p>
<p>Last year 5065 out of 5121 spots in Categorical Medicine spots were filled, with 2940 US Seniors matching (3443 US Senior ranked at least on categorical IM spot but it’s safe to assume that the majority - but not all - of the 500 who didn’t match were going into other fields and put IM spots as “safeties”) </p>
<p>In terms of going into Cardiology there are 729 spots last year and 719 were filled. There were 497 US Applicants and 425 matched. It was the most popular fellowship choice for US Grads last year, even despite the buzz over GI the last several years. GI is certainly more competitive with only 383 spots offered. It should be noted that very, very few fellowships in any field have more US applicants than spots. </p>
<p>Overall, I think whatever number of medicine or pediatric residents who decide DURING residency NOT to do a fellowship because of not wanting to do another match process/more training/depressed salary for a longer period of time, probably a similar number fall in love with a particular field during residency and DO choose to go on to a fellowship. In my experience, I think that the numbers that swing in either direction are fairly small. I think that most people go into residency with an idea that they are going towards general medicine or towards fellowship training, even if they might not know exactly which fellowship they’re going to do. </p>
<p>Medicine and Peds are different than say surgery where there’s more time and greater exposure to specialty fields, along with more time for research leading up to making a decision. </p>
<p>I think despite all of that, the real reason that people choose one field over another has little to do with the timing - it has much more to do with interest in that field, the lifestyle and so on. For myself, choosing Peds Critical Care simply was the best fit - I’m happiest when I’m in the ICU. The type of work, the number of procedures, the extensive variety of patients (all ages, patient problems ranging from severe infection, uncontrolled seizures, extreme asthma attacks, poison ingestion’s, diabetic ketoacidosis, etc), were all exciting to me and made it the single best option. For my friends going into neonatology or peds cardiology, there are similar feelings.</p>