Albondiga said:
And I couldn't do hospitalist, to me that is just glorified residency.
Well, difference number 1 from residency is the salary!!!! I guess it's a personal thing, but I don't think I would mind being a hospitalist. Compared to general practice, pay is usually a little bit better, and you still get a bit of the academic environment feel.
As for not getting a fellowship, it's not the end of the world. You can make a very good living as a primary care doc. I assume you entered medicine to help people, not to become a specialist. I know in the ivory tower, all we talk about are specialists and we deride PCP. But back in the real world, the MDs patients like and trust the most tend to be their PCP.
Alternatively, if you really want a fellowship, spend the next year or two doing research in that field. The pay with be what you are getting now, and it will help you get that fellowship.