scholes said:
Most apply to cardiology during their second year of residency. There are a few programs (Wash U for example) that have a cardiology "fast track" (this is sort of a misnomer, see below) that you do 1-2 years of IM and 4+ years of cardiology with a concentration in research. In this program, I believe you are not eligible to sit for the IM boards, but rather become boarded in cardiology only. They call it "fast track" but I have heard of some people who had a hard time with their research and the program did not graduate them from the program within the 5-6 year time period that you were expecting.
As a cardiology fellow at Wash U, I can tell you that fast-trackers are indeed eligible for the boards. Every fast-tracker that has finished our program that I know of has been boarded in internal medicine and cardiology. Also, just about every one that I know of who fast-tracked into cardiology has finished in their scheduled amount of time. Yes, you are correct: you
do not finish your training in a shorter amount of time. However, there are three important differences between this and the conventional route:
1. You are
guaranteed a cardiology fellowship position before you even start your internship.
2. You spend less time as a resident and more time as fellow. Personally, I really enjoyed my residency. But, there is no denying life as a fellow is even better.
3. Many of these fast-trackers were guaranteed subspecialty fellowships (EP) early on in their cardiology fellowship.