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I recently got exposed to physiatry (physical medicine and rehabilitation) and am interested in pursuing it. However, given that it is such a small specialty (and pretty competitive in recent years), I am not sure if I'd feel comfortable just gunning for it with no backups. As such, I have some questions about the elective strategy for CaRMS: 1. How many weeks of electives does one need to do in physiatry to be competitive? From past posts, it seems that 4 weeks is the bare minimum (2 reference letters), but I am wondering if this threshold has increased due to the increasing competitiveness of the specialty. 2. If one does 10 weeks of neurology and 6 weeks of physical medicine (or even a 12/4 split between neurology and physiatry), would this be seen as using physiatry as a "backup" and therefore looked upon less favorably? 3. What are some specialties that an applicant can realistically apply to in conjunction with physiatry? Some combinations that I can think of include neurology/physiatry, internal/physiatry, family/physiatry. 4. If one were to "gun" for physiatry, should one do all of the electives in physiatry? Or should one dedicate several weeks to neurology, internal medicine, orthopedics, etc.? Thanks in advance!