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I think it probably is worth mentioning that plenty of people will DO fine getting into a fellowship from a non-university or academic program. I think SDN and even i've bought into the inflated ego of a competition that doesn't exist as concretely as much as possibly the people who want regional or specific programs have made it out to be in general.
I think DOs will be totally fine for the majority of residencies and fellowships and probably be happy and well trained in their fields.
I think that is something we shouldn't undervalue or forget..
This is true. I think a lot of community programs also have fellowships that seem to take in-house applicants. Still one should be fine for matching into fellowships from a good chunk of programs (in-house fellowship or not).