Hi! I'm a PGY1 in a Prelim-IM year, heading to my PM&R Advanced program this coming summer 2020. I've read through all of the old threads that discuss pain vs. sports vs. sports/spine vs. interventional spine fellowships. Ultimately, from what I gather, the majority of opinions are that if you're going to do a fellowship, most likely do something that will give you the board certification at the end because it will open the most doors and keep you pretty safe, legally. Interventional Spine and Sports/Spine fellowships are not accredited by the ACGME, so neither can give you that board certification at the end. That being said, if someone is truly interested in both sports & pain, and can no longer participate in the whole grandfathering thing where they can take the board exams without doing the fellowship, is it feasible to do fellowships in both sports medicine and pain? Has anyone heard of anybody ever doing this before?