Resident Career Counseling I am a 4th year medical student about to list my rank order for the match. I have a very important question concerning applying for an internal medicine reidency with intent to apply for a fellowship position in the future. I would like to attend the same school for both residency and fellowship. I am stuck between ranking schools with great medicine programs vs. schools with great fellowship programs. Most schools with great internal medicine programs have very competitive fellowship spots. Some schools with lower ranked/quality medicine programs have less competetive yet highly ranked fellowship positions. Should I be concerned with fellowship competetiveness at this time? Should I sacrafice a great medicine opportunity for my future goal? Can I afford to miss out on my career goals in place of a good medicine education? (... of course not!) As it turns out, most great medicine programs with competitive fellowships are in great cities. Less competetive fellowship positions are available in less than perfect cities. Everybody I ask cannot answer my question. Time is ticking and I need help. Please respond.