Our program typically has two to three body fellows, one to two interventional radiology (IR) fellows, one to two musculoskeletal (MSK) fellows, one pediatric fellow and possibly one neuro fellow. We try to ensure that residents and fellows are on different schedules so that residents get lots of hands-on experience. Our large catchment area and access to many academic and community hospitals and clinics limit competition between residents and fellows, while maximizing teaching and collaboration.