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Our private practice does not tend to advertise. The positions are usually filled by asking our colleagues at the big academic centers if they have good fellows etc that would fit our needs. Only if we don't find anyone through word of mouth do we put up an ad. Usually not necessary.Yeah agree train where you want to work to put yourself in a good position for local jobs that may pop up. The word of mouth jobs aren’t advertised so you have to be in the loop aka you need to be local.