from a shopper ...  
 
"Fellowship Graduation in plastic surgery."  
 
Please consider creating general designs with no sub-specialty and sub-specialty specific designs.  You can also create custom front designs to speak to the sub-specialty.  
 
The shopper will find these cards here:  
Occasions >> Congratulations >> Graduation >> Trade / Vocational / Career >> Medical / Healthcare >> Fellows / Fellowship Graduation  
 
To expedite the review of these cards, please check Fast Track Review on the card image details page when you create your card.  
 
For standard front designs, consider using Stock Card Creations to create new cards quickly. These cards are automatically set for expedited review so no need to Fast Track.