Hi, I started a position as an academic hospitalist during the month that I applied for fellowship in Pulm/CC. I matched at my top choice program. I stayed at my host institution, to become a hospitalist but I have a friend who took a job at a different hospital and matched at his top choice in Pulm/CC as well. I found that a lot of programs that I interviewed with liked that I had experience making decisions on my own, and taking care of sick patients on my own at a tertiary referral center. No one had anything negative to say about working as a hospitalist for a year between residency and fellowship.