r/Cardiology

Seeking advice

I’m an incoming internal medicine PGY1 with a strong interest in cardiology, particularly EP.
I wanted to ask those further along in training:
What advice would you give your younger self during intern year and residency?
What are things you would strongly recommend doing, and what mistakes would you avoid ?
I would sincerely appreciate any insights or perspectives from those who have gone through the process
Thank you

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Switching from IC to General Early in Career

First year attending and took a job that is a combination of general and interventional. Will be about a year into the job and realizing that I don’t enjoy the interventional component as much. STEMI call is stressful and don’t have good support in the group with challenging cases. Volume has also been low but I realized I don’t miss the lab. The general component is easier, less stressful, and I thought I would hate clinic but I’ve really enjoyed it. I’m thinking about transitioning to a general cardiology job and wondering if anyone has any advice or found themselves in a similar position. I know I would be taking a pay cut but I don’t find the extra money in IC worth it based on my spending and lifestyle (not an extravagant spender and lived comfortably on a fellow salary even before this year). The general job would be in a different part of the country that is more appealing for me to live in. I initially did Cath because I enjoyed the lab and am good at it. But now realizing I’d much rather focus on personal life and not have the stress of doing cases.

I had thought that the ideal job would be doing a few cases a week and then do mainly general cardiology. This is kind of the setup I have now but it’s hard to be confident in STEMIs and difficult cases/complications when you’re not doing a lot of cases. Any advice would be appreciated!

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u/Spiritual-Cap5602 — 4 days ago

Is structural market really that saturated? Passion vs practicality

By most accounts, the structural interventional market is completely saturated and that it is almost impossible to find a true structural job (outside of some TAVR in small developing community programs).

Is this true? Does it stand to change in the near future?

On a philosophical level, should market realities influence your specialty choice even if it's your passion? As in, would you recommend picking something else that you like, which has better career opportunities, but may not be your top choice otherwise.

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u/chill_hakawati — 6 days ago

Super Fellowship - EP

Writing this from a throwaway. Currently a general cardiology fellow with an interest in electrophysiology. I am weighing whether to do general cardiology or go for the super fellowship. Hesitation is predominantly two more years of training and finding a job I want in the mid Atlantic. General cardiology jobs seem to be at every single hospital but electrophysiology postings, less so.

The question I have is for those who wanted to pursue super fellowship like EP and went general instead. Did you regret this down the line? I think I would be happy in general but don’t want to come to the realization I should have done EP 10 years down the line. I guess the problem is trying to guess what is going to keep me happy 10 years down the line when I think both would in the current moment.

Thoughts?

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u/Many-Zucchini7806 — 8 days ago
▲ 6 r/Cardiology+1 crossposts

IC or EP for IMGs

Hello everyone,

I am a PGY-2 IM resident in an ACGME-International program
We do have an excellent cardiology fellowship here which is ACGME accredited as well.
I’m planning to do cardiology and to be followed by either EP or Interventional in the USA!

I’m a bit lost now, since cardiology is almost impossible to match after finishing my IM abroad, I think it might be easier to finish cardiology at my program and then apply to EP or IC in the US, my question is how likely do IMGs match into those fellowships with IM and cardiology being done outside the US?

And if I get to do one of those fellowships in the US, is it difficult to get licensed and work there as well?

Some people advise me to apply for residency and do it all from the beginning, which I find not applicable personally in my situation.

I would appreciate any assistance
Thank you all

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u/Afraid-Regret-9479 — 7 days ago

Best way to prepare for boards?

Got the upcoming gen cards board and CT boards in a few months, how should I prepare for them?

For Gen, I am doing O Keefe’s EKG, ACCSAP

But idk what to use for CT

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u/No_Jaguar_5366 — 7 days ago