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IMResApplicant

2+ Year Member
Oct 22, 2018
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Hey everyone,
I was hoping to get some of your opinions on an idea I had. I am ultimately interested in Advanced Heart Failure Cardiology. My problem is that I am a US IMG from a mid-higher tier community hospital program in NYC, so my chances for the traditional cards then hf fellowship are slim. I was planning to do a nephrology fellowship at a large research institution to get some publications as nephro and cardiology have unique common grounds in heart failure patients. After interdepartmental research at this large institute I would then plan to then apply to cardiology. Yes it is a lot of training. Blah blah blah. It’s something I want to do. A chief year is not really on the table either since I don’t see the value of being a secretary for a year without much improvement to my CV when I can get a stellar CV boost from a 2-year nephro program. Any thoughts?
 

a2p2

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Apr 18, 2019
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Hey everyone,
I was hoping to get some of your opinions on an idea I had. I am ultimately interested in Advanced Heart Failure Cardiology. My problem is that I am a US IMG from a mid-higher tier community hospital program in NYC, so my chances for the traditional cards then hf fellowship are slim. I was planning to do a nephrology fellowship at a large research institution to get some publications as nephro and cardiology have unique common grounds in heart failure patients. After interdepartmental research at this large institute I would then plan to then apply to cardiology. Yes it is a lot of training. Blah blah blah. It’s something I want to do. A chief year is not really on the table either since I don’t see the value of being a secretary for a year without much improvement to my CV when I can get a stellar CV boost from a 2-year nephro program. Any thoughts?
Is there a in house cardiology fellowship spot? If so doing a chief year is prob much higher yield than a nephro fellowship
 

timpview

10+ Year Member
Jan 14, 2010
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“Yes it is a lot of training. Blah blah blah. It’s something I want to do”

seems like that answers it. Good luck
 
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Sep 4, 2019
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Hey everyone,
I was hoping to get some of your opinions on an idea I had. I am ultimately interested in Advanced Heart Failure Cardiology. My problem is that I am a US IMG from a mid-higher tier community hospital program in NYC, so my chances for the traditional cards then hf fellowship are slim. I was planning to do a nephrology fellowship at a large research institution to get some publications as nephro and cardiology have unique common grounds in heart failure patients. After interdepartmental research at this large institute I would then plan to then apply to cardiology. Yes it is a lot of training. Blah blah blah. It’s something I want to do. A chief year is not really on the table either since I don’t see the value of being a secretary for a year without much improvement to my CV when I can get a stellar CV boost from a 2-year nephro program. Any thoughts?
It’s not bad idea but I’m not sure how that will help you to get cardiology
you can consider heart failure non acgme fellowship .. or research in big places such as Cleverland or mayo ..
 

docimg

5+ Year Member
Jan 23, 2016
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Hey everyone,
I was hoping to get some of your opinions on an idea I had. I am ultimately interested in Advanced Heart Failure Cardiology. My problem is that I am a US IMG from a mid-higher tier community hospital program in NYC, so my chances for the traditional cards then hf fellowship are slim. I was planning to do a nephrology fellowship at a large research institution to get some publications as nephro and cardiology have unique common grounds in heart failure patients. After interdepartmental research at this large institute I would then plan to then apply to cardiology. Yes it is a lot of training. Blah blah blah. It’s something I want to do. A chief year is not really on the table either since I don’t see the value of being a secretary for a year without much improvement to my CV when I can get a stellar CV boost from a 2-year nephro program. Any thoughts?
IMHO, doing a year of non ACGME advanced cardiac imaging or HF fellowship may be a better use of time in terms of learning cardiology and research productivity. It also may get you a foot in the door for their in-house fellowship. I would advise researching prior institutional track record of such programs and faculty at these programs in terms of helping their non-acgme fellows get placed in a general cardiology fellowship. Basically, you want to know if someone will make a phone call for you.

Nephrology is a very interesting specialty and those two years of fellowship will be very busy for you. But some how I feel it may be frowned upon by PDs in cardiology.

Good luck.
 

IMResApplicant

2+ Year Member
Oct 22, 2018
50
56
IMHO, doing a year of non ACGME advanced cardiac imaging or HF fellowship may be a better use of time in terms of learning cardiology and research productivity. It also may get you a foot in the door for their in-house fellowship. I would advise researching prior institutional track record of such programs and faculty at these programs in terms of helping their non-acgme fellows get placed in a general cardiology fellowship. Basically, you want to know if someone will make a phone call for you.

Nephrology is a very interesting specialty and those two years of fellowship will be very busy for you. But some how I feel it may be frowned upon by PDs in cardiology.

Good luck.
Thank you for your honest thoughts. I honestly do think the skills and knowledge obtained in nephrology would be very helpful in managing cardiology patients, inpatient and outpatient. Maybe I can see it as I am trying to carve out my own niche in “cardionephrology.” UTSA has a cardiorenal track for their nephrology fellows, UPenn has a cardiorenal clinic, etc. so it cannot be that outlandish
 
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a2p2

2+ Year Member
Apr 18, 2019
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Thank you for your honest thoughts. I honestly do think the skills and knowledge obtained in nephrology would be very helpful in managing cardiology patients, inpatient and outpatient. Maybe I can see it as I am trying to carve out my own niche in “cardionephrolog.” UTSA has a cardiorenal track for their nephrology fellows, UPenn has a cardiorenal clinic, etc. so it cannot be that outlandish
Doesn’t the heart perfuse every organ of the body?
I guess you can make a cardio-neuro track too
 
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nlax30

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Oct 5, 2006
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I think a chief year or doing one of the non accredited HF year spots would be a better option. Nephro fellowships can be brutal (from what I hear from friends) and I’m not sure what additional time/exposure you’d get on the cardio side. Plus with the funding issue nay make it even more difficult for a cardio program to take you.
 

aafisahar

5+ Year Member
Oct 22, 2015
436
646
Thank you for your honest thoughts. I honestly do think the skills and knowledge obtained in nephrology would be very helpful in managing cardiology patients, inpatient and outpatient. Maybe I can see it as I am trying to carve out my own niche in “cardionephrology.” UTSA has a cardiorenal track for their nephrology fellows, UPenn has a cardiorenal clinic, etc. so it cannot be that outlandish

nephrologists are only good to dialyze my patients. every time we are on the same case, they basically wrong in every aspect of management of acute heart failure. A trend I've seen at two institutions now is "renal perfusion" blood pressure goals (eg systolic 140), where the actual right thing to do is afterload reduce the absolute **** out of this in order to actually deliver blood to the kidneys. I've seen it dozens of times, hospitalists and renal are spinning their wheels trying to get this cold as ice patient to diurese with just straight lasix first at 40mg, then 60mg, then TID, etc, 4 days later, they call cards (when they should have called on admission). That patient needs significant afterload reduction, and/or inotropes, and aggressive lasix (200mg + 10mg metolazone) in order to decongest them.

Nephrology = gateway to the filter, otherwise, they don't know dick about actual heart failure management.

doing a nephrology fellowship means you'll have to unlearn all the bad habits you picked up along the way. a month on advanced heart failure will teach you a thousand times more than 3 years in nephrology on how to manage cardiorenal syndrome.
 
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shouldigomd

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Jun 22, 2012
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Nephro would be a waste of time if cardiology is your goal. Really no argument against that....
 

Scope guy

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Jul 30, 2014
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first year nephro is brutal. you wont have much time to invest in cardiac research. remember you have to apply early 2nd year nephro fellowship for cardiology fellowship for subsequent year. you wont have much time to publish substantially to boost your CV. HF fellowship or cardiac imaging is a foot in the door for cardiology, one year only and probably help with integrated cardiology practice as non invasive HF specialist
 
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