The impression I get after talking to a number of successful and unsuccessful applicants in and around my state- New Jersey is that in recent years GI has become most competitive fellowship to get, surpassing cardiology. Is this a local or nationwide trend. I am a First year IM resident and will be sending out applications next year for GI or Cardiology. I am wondering what is the reason for GI getting extremely competitive- ? Lifestyle/Pay/Other ??.