Abstract
As an international medical graduate doing internal medicine residency in the United States, the challenges faced by residents aspiring to secure highly competitive fellowships, particularly in the field of cardiovascular disease, are highlighted in this correspondence. There is a delicate balance between maintaining clinical proficiency and building a robust research portfolio, emphasizing the unique struggles encountered by individuals in similar situations. Throughout my residency journey, I have navigated the intricate path of managing the demands of medical education, clinical responsibilities, and research pursuits.