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COVID-related budget cuts may be changing this as we speak. If you get grants from ASPHO, St. Baldricks, ASH, etc. to support your salary (or at least a part of it), any program would be happy to let you stay for the 4th or 5th year. However, I know that even some top-tier programs don't have fundings for 4th year positions this year and the upcoming year, especially for more "clinical" 4th year positions (N/O, BMT, Thrombosis, etc.). Like @GoSpursGo said, it's good to ask.What is the general percentage of people going into 4th year super fellowship? I assume most places only take one or two people a year for that so must be even smaller world. Also, what is the market for majority hematology based jobs?