Something that's been bugging me about University of Maryland's IM program: Maryland is generally considered a very reputable program with strong clinical training and fellowship match lists. However, I noticed that only 1/3 of the current PGY3 class (10/30) is going straight to fellowship, and this seems to be the general trend from the past few years. Now I see that those residents who are going to fellowship are going to top-notch places in all fields, but I can't help but notice that the percentage of PGY3's going directly to fellowships is way lower than at most comparable academic residency programs. For instance, at places like GWU, Georgetown, Jefferson, Temple, Brown, etc, easily 60-70% of the PGY3's go directly to fellowships. Does anyone know why Maryland's percentage is so much lower? Why do so many Maryland residents work as hospitalists or do research for a year before going on to fellowship? Is it because they failed to match the first time around? Because they don't have enough experience or research to get into fellowships right away? Because they need to work to make more money for personal reasons? Or do many residents actually want to go into hospitalist medicine or primary care as a career? I'm dying to know the answer to this question, because the reality of Maryland's fellowship match is so discordant from the reputation it has.