I wonder if you would be more in demand if you were to do an extra year of regional (although not a true fellowship). Where I'm at, the regional fellow will do blocks for two days a week, OR for two days as well as an "academic" day. He gets paid as 1/2 time faculty (>$100,00). Sounds like a pretty cool deal. I wonder how helpful that would be in landing a good job in those orthopod heavy practices located in desirable places in the country.