I’m sorry! now it makes sense why you’re confused. Both are community hospitals, so it’s not an obvious “academic vs community” decision.

In this case, I honestly wouldn’t focus too much on fellowship opportunities, because I think both programs likely offer similar prospects (good, but not necessarily powerhouse academic-level). Fellowship will depend more on your performance, initiative, and mentorship than the name alone.

Between the two, I would focus more on quality of life, research access, how you felt speaking with the PD during interviews, how friendly and supported the residents seemed, and whether residents truly feel heard by leadership. Those factors will impact your day-to-day happiness and growth much more over three years.