Why is interventional cardiology fellowship so competitive nowadays?

[cardiology 2017]

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Why is interventional cardiology fellowship so competitive nowadays?

 

[FreakofMeds]

There are ~250 ACGME accredited positions between the US and Canada every year. Out of those 250 positions, you probably will have half of those filled by internal candidates, who will have a much better chance at getting that seat since there is no match / ranking system. What's left is probably roughly 125 positions for about 300-400 candidates who either had no interventional fellowship in their program or had not matched in their program fighting over what is left....

 

[cardiology 2017]

Thank you