As a PGY-3, I guess it is time to start thinking about fellowships. Unfortunately, one of the weaknesses of my program is that guidance in that department is kind of lacking. What is the process like in terms of applying? What are people looking for from the applicants? What is the outlook for different fellowships? (I am only familiar with the big three of pediatrics, dermatopathology, procedural) Are certain ones more popular/competitive than the others?