Been reading the forum for awhile and decided it was time to post. Just finishing up PGY 2 enjoying outpatient rehab much better than inpatient. Am actually highly interested in muskuloskeletal/spine and would love to do a spine fellowship. Thought about pain as well and read as nauseum about spine vs pain and accredited vs non accredited programs. Believe that spine is the avenue for me. Was wondering how competitive the PASSOR spine fellowships are, obviously the more desirable (eg slipman, Umich, etc) are more competitive, but overall are these difficult to get? Am probably average to above average resident, good SAE score, and really motivated. One problem is that most of my exposure to outpatient muskuloskeletal is not until my final year, as we get bombarded with mainly inpatient the first two years at my program. Also there is no fellowship associated with my program and we have no elective time. What should I be doing over the next year to make myself a better applicant and what are the programs looking for in a fellow? Thanks in advance.