Many of the fellowships at Boston Children’s Hospital Boston are the best in their specialty, and all are among the top few in the country. The hospital has many fellows who are exceptional clinicians, teachers and individuals. They provide invaluable assistance in teaching about and caring for complex patients. Fellows are not residents, however, and they do not assume resident roles. Only residents can write orders (and request consults) in the BCRP. Most residents feel that the fellows are an integral part of their education and augment their clinical experience through dedicated and impromptu teaching sessions. While all subspecialty services have fellows as part of the care team at Boston Children’s, there is minimal fellow presence at BMC with a few exceptions (ID, Neurology and Emergency Medicine departments).