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If you'd just asked me that question, I probably would have told you it doesn't happen, and with the ACGME wording, it's obvious it doesn't. Certainly, people are always able to pursue their interests, but as far as formal training...doesn't appear to be. I'm sure that at academic medical centers there are a lot more opportunities for this sort of cross pollination, and so you can get an orthopod interested in something like osteomyelitis working with the ID people on some sort of research and the like. But other than that...it looks like you'd have to be one of those odd balls who ends up switching residencies midway through or who just piles residencies on top of one another (I've heard stories of this happening where people end up having gone through a residency and fellowship only to decide that they need to complete another residency) in order to make that happen.
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