Can someone please direct me to a link or give me the general idea? I have read related threads, but I still need more information. I merely do not want to go into IM and end up trapped as a general internist I am a 3rd year medical student with very high Step 1 and general course grades However, I am reluctant to enter the surgical field (as I once dreamt) or other specialties I am willing to work very hard from here on out, but I do not want to end up as a general internist. (Sorry if I offend anyone. this is not my intent. Actually, I enjoy medicine moreso than other fields. If in the future I subspecialize in one of the IM fields, I still intend to practice general medicine) What does it take to get an IM fellowship program?