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For example: Internal medicine residency (3 years) followed by a Cardiology fellowship (3 years) or anesthesia (4 years) followed by a pain management fellowship (1 year) or plastic surgery (5 years) followed by a hand surgery fellowship (1 year).
Candidates who began the four-year continuum of education in anesthesiology on or after July 2012 and will complete residency training on or after June 30, 2016 will take the new staged exams that complement the movement of the Accreditation Council of Graduate Medical Education (ACGME) toward competency-based training and promotion.