In summary, OBGYN hospitalist fellowships were developed to train the future leaders of hospital medicine and inpatient clinician experts. To address the current supply and demand problem facing our specialty, these training programs can help recent residency graduates improve their confidence and competency in managing high-risk and emergent cases in OBGYN, as well as learn essential hospitalist skills not typically taught in residency, such as quality improvement, simulation, and leadership. In addition, fellows may have the opportunity to obtain advanced degrees as part of their training. Similar to Minimally Invasive Gynecology and Pediatric and Adolescent Gynecology, which both evolved from the Generalist OBGYN Specialty and obtained a focused practice designation, OBGYN hospitalist fellowships may have the opportunity to do the same. One important step toward this will involve standardizing training across programs, an initiative that is currently the top priority of the SOGH Fellowship Committee. In the meantime, those desiring to start new fellowship programs are encouraged to utilize the SOGH Core Competencies and ACGME fellowship requirements as a basis for curriculum development. As fellowship programs continue to expand across the country, particular importance will need to be paid to recruitment and improving awareness regarding the importance of training the future leaders in OBGYN hospital medicine.