Cons: the pay is not much better than what you would make as a hospitalist
Pros: your patients will worship you, and 95%+ of you patients are compliant (this is a testament to how horrible SLE and RA are that rheum patients will do anything to alleviate their symptoms). Rheum also doesn't really have call
If you want to go into PP, you do a two year fellowship after your IM residency; if you want to do academics, you'll do a three year fellowship after your IM residency