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I could’ve been in radiology now (almost applied but changed my mind last second). They make 1.5x the salary neurologists make without having to tell people their loved one will never be able to use language again.

IM hospitalist is one of the best financial decisions in medicine. Short training, good job market, solid salary (250+), and tons of time off. In fact, it’s becoming increasingly unmotivating to pursue a fellowship nowadays. Why endure 5 extra years of hard labor and low compensation to be become an International Cardiologist, only to limit yourself geographically and more work hours than your counterpart hospitalist? The financial loss during the extra years of training exceed 1M and can be much more if you pick up extra shifts as a hospitalists and work near the same hours a cardiology fellow does. It would take a decade for the IC, in the perfect setting, to financially catch up on the opportunity loss.

Rotated at a rural/suburban ICU where basically every IM doc had some sort of unaccredited cardio fellowship. I got a huge sense that none of them were particularly putting it to use at that location. Maybe 30% did it out of wanting to learn about the heart/maybe make it a career, while the rest struck me as did it as a resume builder/mom and dad told them to.