Does anyone know much about these fellowships? I recently came across a link on the Society for Pediatric Anesthesia website for second year Pediatric Anesthesia fellowships (additional training after one year) and there seems to be a huge increase in the number of Peds Cardiac Anesthesia fellowships that have sprouted up since I was in training (2009). Back then it only seemed like there were only a few official 6 month - 1 year fellowshps (Stanford, Boston, Texas, Emory). The rest were more or less unofficial ones where if you wanted to do hearts you could stay on staff and they would proctor you for a few months. Why is there a sudden increase in these advanced fellowships? Is this a result of the saturation of the pediatric anesthesia job market and/or a push by some of the pediatric anesthesia departments to make fellowships two years long? Are these new fellowships competitive and do they even fill?