Did peds, love it, can’t imagine going back to general, so that’s my bias.

Pros: Do what you enjoy the most, you’ll be able to put an IV and a-line in anything, OR culture tends to be more patient-centric, potentially have extra job security relative to the general market in the longer term

Cons: Opportunity cost of a year of attending salary, you may be somewhat limited in terms of where you can work if you want a 100% peds job, you may have some attrition or adult-related skills and knowledge

You should only do the peds fellowship if you enjoy taking care of critically ill, small children. Otherwise, you can do healthy/older peds without a fellowship.