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I have a question that maybe someone could shed some light on. Lets assume that I go to a IM residency in which most residents stay in-house for fellowships. Is it OK to apply to more than one fellowship at the same institution. For example, Apply to Cards, but apply to say PCCM as a "back-up"? Im still a couple of years off considering that ERAS goes out in a couple of weeks, but it would make a difference in the match list as I wouldn't rank such a program quite so high.