Again, you need to apply and compete for seats. As a fellow, the residents report to you as if you were a staff member, but you still review cases with the staff. People who take fellowships often end up working in large centres, as smaller centres do not generally have a need for such sub-specialized care. Each area of medicine that you can apply for through CaRMS has a variety of fellowships available, however not every university setting offers every fellowship.

Highschool (4yrs)
University (3-4ys)
Application Cycle (1yr)Medical School (3-4yrs)
Residency (2-6yrs)
Fellowship (1-3 yrs)

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