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Peds Derm fellowships are few in number. They are generally sponsored by Dermatology departments and go to individuals with Peds training ..at least 1 year (though some have completed a full categorical Peds residency) who have completed a Derm residency as well, as this is a requirement for certification.See these links http://www.abderm.org/subspecialties/pediatric.html http://www.pedsderm.net/news_fellowships.htm