Just don’t do a fellowship at a crappy place with low volume. Choose your fellowship based on seeing consults, variety, and a high number of cases. The metrics by the ACGME for approving fellowship sites sux. Unfortunately many choose fellowships locations to remain in a region and give up quality of education, exposure, responsibility over cases for lifestyle and region. Do that after your done training. Why do so many want lifestyle so quickly rather than going to the best places after sacrificing so much money and time to get to this point?