If you don't match?

[peroxidase]

So you do IM at a University based program with In-house fellowships, that likes to take their own residents.

You do research starting from year 1, get published, get to know the department, work with them for 3 years.

Match time comes and unfortunately a lot of residents also did those things, and you don't match.

What are your options? Are they just:
a) work as a Hospitalist now
b) continue research for a year and apply again next year

Or is it possible for you to now apply to other fellowships like Allergy/GI/Onc?

Basically what happens if you don't match.

Thank you

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[Trifling Jester]

So you do IM at a University based program with In-house fellowships, that likes to take their own residents.

You do research starting from year 1, get published, get to know the department, work with them for 3 years.

Match time comes and unfortunately a lot of residents also did those things, and you don't match.

What are your options? Are they just:
a) work as a Hospitalist now
b) continue research for a year and apply again next year

Or is it possible for you to now apply to other fellowships like Allergy/GI/Onc?

Basically what happens if you don't match.

Thank you

Ask them why you didn't match.

You can always apply for another fellowship, but perhaps you should stop and reflect on what it is that you really want to do if you're so quick to change career paths.

 

[bronx43]

So you do IM at a University based program with In-house fellowships, that likes to take their own residents.

You do research starting from year 1, get published, get to know the department, work with them for 3 years.

Match time comes and unfortunately a lot of residents also did those things, and you don't match.

What are your options? Are they just:
a) work as a Hospitalist now
b) continue research for a year and apply again next year

Or is it possible for you to now apply to other fellowships like Allergy/GI/Onc?

Basically what happens if you don't match.

Thank you

Allergy, GI, or heme/onc? Probably not... if your only research, rec letters are from the cards department. People with those things from the appropriate departments have trouble matching, so you're pretty much toast. With that said, you can probably take a year off and do research in those fields and try the following year.

 

[VentdependenT]

Useless info.

Apply to heart failure fellowships. The current fellow here did NOT do a cards fellowship but used this one to get himself into our cards program.

For what its worth.

 

[CanIMakeIt]

Useless info.

Apply to heart failure fellowships. The current fellow here did NOT do a cards fellowship but used this one to get himself into our cards program.

For what its worth.

Now that CHF is a board-certified sub-spec, the spots that let you do the CHF fellowship BEFORE doing cards fellowship are few and far between if not zero.

 

[salk]

Is it really worth spending 3 years in IM, 2 years in Heart failure ( if you do 1 years you will apply to gen cards within 1 month of starting HF, which is useless) and then 3 years of cards with 1 year of interventional and 1 year of structural...10 years of GME ??

 

[bronx43]

Is it really worth spending 3 years in IM, 2 years in Heart failure ( if you do 1 years you will apply to gen cards within 1 month of starting HF, which is useless) and then 3 years of cards with 1 year of interventional and 1 year of structural...10 years of GME ??

From a financial standpoint? Absolutely not. I don't have a great outlook for interventional cardiology. They are pumping 200 people out every year into a saturated market when coronary stenting has already plateaued and is dropping. Structural won't save the field, especially in the PP world.

 

[C5toC9]

From a financial standpoint? Absolutely not. I don't have a great outlook for interventional cardiology. They are pumping 200 people out every year into a saturated market when coronary stenting has already plateaued and is dropping. Structural won't save the field, especially in the PP world.

What will save cardiology? Or in other words, what will the future of cards look like?

 

[bronx43]

What will save cardiology? Or in other words, what will the future of cards look like?

The problem is systemic at this point. Cardiology is inherently fine. I don't see anything on the horizon that will derail the field as a whole. Cardiovascular disease will still be one of the biggest killers in the US for years (maybe decades) to come. I was simply commenting on the market in its current state and how it might adversely affect your future financial returns.
In truth, essentially every field is experiencing saturation - some worse than others, but the threat is present everywhere. Go ask young ophthalmologists what their initial offers are like and where those offers came from. Go talk to graduating CA-3s or radiologists. The systemic problem is that the influx of practitioners is simply too high. Physician shortages are nothing short of propaganda or fuzzy statistics unless you're out in BFE. But, lettuce be cereal... no one went to medical school to practice in a ****hole where the most happening place in town is the local Walmart.

 

[foo]

What will save cardiology? Or in other words, what will the future of cards look like?

Healthcare is expensive, so cuts are inevitable, and systematic changes are happening. There has been a historical emphasis on more quantity (more healthcare procedures, more healthcare visits, inappropriate care, etc.), as opposed to better quality of care. The incentives are to do more, not necessarily on better outcomes. For purposes of discussion, perhaps as much as 30% may be unnecessary care/procedures (I don't know the real percentage, I'm just making a point).

For example, see: http://www.healthcareitnews.com/news/better-care-not-always-better-business?single-page=true

There are 40 million people in the US that have had limited access to appropriate healthcare. The Affordable Care Act (aka Obamacare) should help 27 million (or so).

Think of Obamacare as an opportunity ("the savior" of healthcare). Perhaps there is a reduction on quantity of care, but with improved outcomes for current patients. Some of that quantity is replenished by the 27 million or so that have had limited access.

No matter what, we are going to be living through interesting times (as the old Chinese curse says).

 

[Silent Cool]

The problem is systemic at this point. Cardiology is inherently fine. I don't see anything on the horizon that will derail the field as a whole. Cardiovascular disease will still be one of the biggest killers in the US for years (maybe decades) to come. I was simply commenting on the market in its current state and how it might adversely affect your future financial returns.
In truth, essentially every field is experiencing saturation - some worse than others, but the threat is present everywhere. Go ask young ophthalmologists what their initial offers are like and where those offers came from. Go talk to graduating CA-3s or radiologists. The systemic problem is that the influx of practitioners is simply too high. Physician shortages are nothing short of propaganda or fuzzy statistics unless you're out in BFE. But, lettuce be cereal... no one went to medical school to practice in a ****hole where the most happening place in town is the local Walmart.

Bronx, just as an aside, how much debt do you think is reasonable for medical school these days? (by the end of residency). Let's say for the OP who doesn't match into fellowship.

 

[bronx43]

Bronx, just as an aside, how much debt do you think is reasonable for medical school these days? (by the end of residency). Let's say for the OP who doesn't match into fellowship.

Just purely going by today's financial conditions, I would say 200-250k is reasonable. You can pay off more if you live frugally after residency, but much more than 250k would just be a huge burden financially.

 

[Silent Cool]

Just purely going by today's financial conditions, I would say 200-250k is reasonable. You can pay off more if you live frugally after residency, but much more than 250k would just be a huge burden financially.

thanx