How hard is to get a IM fellowship? From a community program

[The Last Ankibender]

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Asking for a friend

“I am getting burnout from studying so much to get 4.0gpa and be top of the class. How hard will it be to match in Cards or Gastro if I dont go to a Top IM program. I want to have a balanced lifestyle in medschool cause I need to rest and do something else apart from studying. I know I will stop being in the top percentile, But can I still match in a decent IM program being middle of the class?“

I understand where he is coming from, cause our school foster a competitive environment.

 

[Redpancreas]

Asking for a friend

“I am getting burnout from studying so much to get 4.0gpa and be top of the class. How hard will it be to match in Cards or Gastro if I dont go to a Top IM program. I want to have a balanced lifestyle in medschool cause I need to rest and do something else apart from studying. I know I will stop being in the top percentile, But can I still match in a decent IM program being middle of the class?“

I understand where he is coming from, cause our school foster a competitive environment.

If your friend doesn't like hard work now, he's going to like it a lot less in residency when he's in his late 20s and has no work/balance at a community program working long hours, spending free time cranking out manuscripts, networking, potentially applying for a chief year instead of just keeping his foot on the gas pedal, matching a upper tier IM residency with his potential, and coasting in residency to a fellowship.

Also, the comparison's kind of extreme. Someone who's at the top of the class doesn't go from there (projected upper tier IM applicant) to a community IM program even if they take their foot of the gas.

tl;dr: the earlier you invest, the bigger the benefit...general rule in life.

 

[WheezyBaby]

There's a big range in the middle between top IM and community program