Current cardiac fellow here. Looking for PP jobs and have a couple offers on the table. One is a solid group in my ideal location currently hiring for general spots. They don't have a spot on their heart team for when I start, and unsure when one will open (could be months to a few years). Obviously I'm worried about the uncertainty going forward because I would ultimately like to do Cardiac as a regular part of my practice, and I worry about losing skills while waiting for a spot to open up. Obviously I'll need echos under my belt to be credentialed for cardiac and keep my advanced TEE cert up. Anyone been in a similar situation? If so, how'd you approach it? How long is too long to be out of the cardiac game before you start to lose your skills?