Curious about the IM fellowship landscape. Like everyone else, I'm certainly basing my decision on "what I like". But I would be lying if I said lifestyle and salary weren't big factors as well. The only problem? I'm sick of competition. I'm currently an intern at a prestigious preliminary medicine program (I'm going to be intentionally vague to protect my identity) I applied for a very competitive field last year, failed to match, and am going through my preliminary year now. Despite re-applying this year to an even larger # of programs in that field, I find myself with even fewer interviews a year later. I've spoken with my PD and have an option to continue as a categorical resident if I am unable to match again this year. Now I'm trying to find a fellowship to pursue. I realize cardiology and GI are usually the most popular choices (I assume more for salary than lifestyle) which is why I am very wary of pursuing them. Any advice?