how competetive

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are u talking about a combined cards/critical care fellowship, or how competitive is each individual fellowship?
 
I'm wondering how competitive the combined programs are. I'm a 1st year MD/PhD, so I've got a while before I start looking at residencies, and I'm sure the landscape will change by then, but I'm curious.
 
You can find match results at the nrmp website for every specialty that participates in the match. For peds, this includes cards, ICU, EM, heme-onc, and rheum. Links for cards and ICU are below.

Peds cards match results from the most recent match.

http://www.nrmp.org/fellow/match_name/ped_card/stats.html


Peds ICU from the most recent match.

http://www.nrmp.org/fellow/match_name/ped_crit_care/stats.html


In general, peds fellowships are not very competitive compared to their adult specialty counterparts, with more positions than applicants in pediatric fellowships. Peds cardiology remains one of the most competitive where the number of applicants outnumber available positions. I think only peds ER is more competitive. However, there is a large number of foreign grads applying to peds cards every year and there are usually a greater number of available positions than US grads.

Peds ICU is moderately competitive, but attainable for most applicants. Ironically, in peds icu, there were equal number of positions and applicants, although there 14 unfilled positions and 14 unmatched applicants. This may mean that either no one wanted to scramble into those programs or the programs chose to go unfilled rather than accepting a n unqualified applicant.

I dont know much about the combined programs. I do know there are very few programs offering this (I think Boston, CHOP, and UCSF offer fellowships, but I am not entirely sure). I imagine interest in this is not very high so if you were qualified and wanted to pursue this, I would think your chances would be pretty good, although you would be very limited geographically.

I also know there are 2 pathways for obtaining training in cardiology and ICU. One is a combined fellowship where you train in both cardiology and general pediatric criticical care. This is essentially doing 2 fellowships. Many programs also offer a pathway where you can add a fourth year to your cardiology fellowship where you can get further training in cardiac critical care, which is mainly post-op management of congenital heart disease and other cardiac-specific critical care issues. This will NOT train you in other areas of critical care in which you would be trained in a critical care fellowship.
 
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