I am a current MS4 at a mid-tier medical school. I recently matched into a community general surgery program that has some affiliations with big academic universities. I was wondering what are the best ways to improve my chances to get into a competitive fellowship. I will not have the opportunity to take two years off for research, but hope to be able to do a good amount of clinical projects throughout my residency. I understand that fields such as surg onc or peds surg will likely not happen. If anyone can give me some advice as to how to make myself more competitive, not coming from an academic/university program that would be great. Thanks!