I interviewed at UPMC and had a really hard time figuring that place out. Yes, they're one of a few places that has a stand-alone CCM department (and yet STILL has a separate pulm-CC fellowship!); yes, they have a ton of research funding, centers for this/that, CRISMA, Derek Angus, and the like; yes they have a million ICU beds. And yet, their fellows seemed to function as interns, most of their services had no "teams," they seemed to work in isolated anonymity, and their ranks were filled with people from residencies I'd never heard of. I realize this last point reeks of academic elitism, but it just seemed to strange to me that a place with such tremendous bona fides didn't seem to attract people from quality programs. It just didn't add up. Of course, that was now 6 years ago, so who knows...