Hey, I'm a second year at UW. The fellowship match list is a pretty common question we get from applicants, and I can understand why. The list looks sparse for a few reason.
1. We have a total of 9 (outpt and inpt) chief jobs. They are very popular as well, so a lot of people do these.
2. Others do hospitalist jobs for a year or two. There is a very strong regional preference for staying in the NW. With only two large academic programs (OSHU and UW), most people wait. Also, there is a sort of slow and laid back attitude toward applying here. A vast majority of my collegues change their mind about what specialty they want to do during second year and even third, usually delaying application. Programs in the great NW are more widely dispersed, unlike the east. As such, there is less bouncing between programs. But, when we do apply we have no problem getting fellowships we want.
3. The environment of fellowships are a bit different here. Cards and GI are not king. Pulm/CC is usually most popular, as well as Heme/Onc. Then GI and after that Cards. Our Pulm/cc and heme/onc match is great. UW, UCSF for pulm in the last couple years and Fred Hutch and stanford for heme/onc.
We are a HUGE program with a lot of slots for fellowships. We take many of our own, in all fields. Also keep in mind we have a very large primary care component. These folks usually stay in primary care, slightly skewing our fellowship match.
We recently implemented a mentorship program that is designed to match you with a mentor in your first year and facilitate research and applications. Also, there is more elective time intern year to make a decision about your future... which is great.
Please PM me with any UW questions. I may be biased as I am one of the chiefs in 2011-2012.