Congenital heart surgery

[Smoke This]

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I can't find good information on this anywhere despite a thorough and persistent search. Does anyone know about how many fellowship programs there are for this, or better yet know of a listing of fellowships (it's not on freida)? Also, any idea what the job market is like? Obviously, as an MS-4 getting a job is going to be a long ass time from now but I'm still curious.

 

[Leukocyte]

You do a CT fellowship, then subspecialize.

You are right about the "LOOOOOOOOOOOOOOOONG ASS" time reqiued though.

 

[Smoke This]

You do a CT fellowship, then subspecialize.

I realize that.

Like I said earlier, what I'm wondering about is how many programs there are and what the competition is like for jobs at the end of all this. I'm not saying I'm going to do this but hypothetically, it would suck to get this far and then be unable to find a job.

Anyone have any information?

 

[hans19]

I realize that.

Like I said earlier, what I'm wondering about is how many programs there are and what the competition is like for jobs at the end of all this. I'm not saying I'm going to do this but hypothetically, it would suck to get this far and then be unable to find a job.

Anyone have any information?

Competition for CT surgery jobs is tough enough as it is. There are even less opportunities for Pediatric cardiac surgery. Your opportunities are basically limited to larger academic or very large metro hospitals. It will be extremely tough to find a job. Fresh out of a fellowship, you still have a LOT of dues to pay on the academic circuit before you would be able to find a decent job.

There will always be a need for pediatric CT surgeons, there won't always be enough jobs to go around.

 

[Dire Straits]

i was talking with an old heart surgeon who had done med school and his training in england and he was saying that over in the uk there has always been a shortage of jobs at the attending level for cardiac surgeons and most other surgical subspecialties as well. he was saying over there that only a few (about 3-5) attending-level jobs open up each year for ct surgeons so the competition is fierce and its common for people who've finished all their training to be floating around as fellows and taking up advanced fellowships (superfellows) for years until they finally land an attending job. and some never get one and remain career fellows as he called them. he mentioned that this might now also be happening over here in the states with ct surgery.

 

[Trajan]

I don't understand why the jobs are so hard to find, and I suppose this would apply to pediatric general surgery as well. At my medical school's hospital we have one pediatric surgeon and one pediatric CT surgeon. They work like dogs. However, I am told that the hospital isn't looking for any other pediatric or peds CT surgeons. With so many fellows looking for jobs, why don't more major medical centers hire additional surgeons to cover these most important and difficult patients? Haven't they earned the right by now to only be on call only every other night?

 

[doc05]

I don't understand why the jobs are so hard to find, and I suppose this would apply to pediatric general surgery as well. At my medical school's hospital we have one pediatric surgeon and one pediatric CT surgeon. They work like dogs. However, I am told that the hospital isn't looking for any other pediatric or peds CT surgeons. With so many fellows looking for jobs, why don't more major medical centers hire additional surgeons to cover these most important and difficult patients? Haven't they earned the right by now to only be on call only every other night?

as with most things in this world, it's all about $$. Medicare and other 3rd-party payors pay based on the patient's DRG, not on # of hospital days. Thus, if you have a small number of complex patients, who may require a protracted hospitalization, the reimbursement is finite. Depending on the specifics of the patient population, this may not bring in enough $$ to support two full-time pediatric subspecialists.