Not matching into fellowship after 3 long, strenuous years of an internal medicine residency can be devastating. But it does not have to be. This section will serve as a guide to redirect you on your course to the next stage of your career. This information is intended to help direct you whether you need assistance in strengthening your application to reapply, or are interested in learning what other opportunities exist for Board-Certified Internal Medicine Physicians. It is meant to empower you to make the right decision for you and guide your decision-making process. Not matching can be isolating, but the aim of this chapter is to remind you that others have had this same setback, and there are several different approaches to get you back on your path.