Advanced fellowship input

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New Member
7+ Year Member
Apr 8, 2016
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Hello everybody.

I am a first year fellow in a "top 10" program, and I realized that I have no idea what to do next.

I like procedures, but absolutely hate nights. I know most people would say just do EP, but I find it way too cerebral and the job market is very very tight in big cities.

I still do not completely understand how bad is interventional lifestyle in most private groups. Perhaps the nights are not as bad as fellow nights?

Are there jobs out there where I can just do procedures without all the other clinical work?

If anyone has any input, it would be greatly appreciated. Also ideas of what good well balanced interventional programs are out there?


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How bad nights are in private practice is going to be practice dependent. Likely it will be a little gentler than most large academic centers. Nonetheless you will be doing STEMIs at 3am when you're 55...

There aren't many jobs where you can just do procedures other than EP and some interventionalists in very large cardiology practices where there is a very large referal base and each partner has their own niche.

Other subspecialties in cards where you can do procedures: heart failure... There are some HF people who do Rt/L sided impellas, biopsies, RHC/LHC but obviously have to do more clinical things than just these.
Of what little I know about eps and rf ablation, there is one intervention specialist to whom the other cardiologist refer. But this doc also does pacemaker gen change and AICD insertion. He has privileges in at least 3 hospitals. I think he gets enough bussiness to the hospitals that all his faults, such as repeatedly coming late is forgiven