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The fellowship application process.

FELLOWSHIP training is the final stage of formal medical education for a substantial number of physicians. Its influence, however, extends beyond those who undergo its rigors and is felt by the profession as a whole and the society it serves. The National Study of Internal Medicine Manpower1,2has studied the process by which physicians become fellows. Their reports are quite detailed and thoughtful but are unlikely to be of help to those wrestling with individual career decisions. The remarks that follow are intended to promote thought and discussion among fellowship candidates and the faculty members who train them. While based on observations of trainees in internal medicine training programs, these remarks may also be of interest to those in other fields who are forced to consider similar problems. My basic premise is that it is to the advantage of the applicant, the training program, the profession, and the patients