I'm wondering how to go about choosing a child and adolescent fellowship program. I have an idea of where I want to go, but I have been told by another resident that I shouldn't bother with a couple of my top choices. What are the major factors to consider? I've heard that training in a big city is ideal, but I don't know if that is necessarily true. (Plus, I think I'd rather live in a smaller-sized community.) I want to receive a good education and be adequately prepared to handle anything I may encounter, but I am not necessarily desirous to go to a big name program or participate ambitiously with research. Mainly I just want to learn how to provide high quality care to patients. Other than that, I'm also interested in programs that are DO-friendly and family-friendly, and training in an area with a low cost of living.