I just came back from an impressive community-based program interview yesterday. Practically all of the CA3 go into private practice but some do fellowships (esp peds at boston children's hospital). Because there are no fellows at this program and the program itself is very small (8 incoming PGY1/year) , the residents state that they get to do the hearts, transplants, etc and feel extremely comfortable with their skills and are ready to practice by the end of second year. I'm just curious as to whether the seniors on here at academic programs feel the same way or do they feel like they have to fight for complex cases. I'd really appreciate all input. Thanks!