things that matter to a PD in the order of importance

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oscillation

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Negative comments or hints of underlying problems in letter written by internal medicine program director
Personal comments by the internal medicine program director
The personal aspect of the interview
Letter of recommendation from a cardiologist known by the fellowship director
Performance during an elective at the fellowship site
Rank order in the residency class
Genuine interest in research
Being a graduate of a US medical school
Letter of recommendation from a nationally known cardiologist
Doing a residency program at an institution with a well known cardiology division
Participation in research prior to the fellowship program
Assessment of medical knowledge during the interview
Publications prior to fellowship
Performance on the ABIM certifying examination if available
US citizenship
Performance on the USMLE

http://www.acponline.org/residents_fellows/career_counseling/fs_train.htm
 
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