IM Subspecialties with Best Job Prospects

[zizoupanda]

Which IM subspecialties have the best job prospects in the near future?

Which IM subspecialties are the best bet for securing quickly a (community) job without too much hassle and without needing extra training (fellowships and/or a Master's)?

I've heard the job market for Nephro is awful while most Cardio and GI grads require one or more fellowships before being able to find a job. Is that true? If so, which of the other subspecialties are more in demand?

[Monkey D. Luffy]

Rheum, geriatrics, GIM

[#YOLO]

geri..endo..rheum

 

 

[LittleDaisy]

1 hour ago, #YOLO said:

geri..endo..rheum

 

 

I won't say endo nor rheumatology could find a job easily in the community, at least not in urban centers; as a lot of primary care physicians manage diabetes+ fibromyalgia+ rheumatoid arthritis.  At least the job market in GTA is quite saturated from what I heard. 

If you really want a GIM subspecialty to find a job easily anywhere, go for geriatrics or GIM. 

[Snowmen]

In Quebec, you'll easily find a job in anything that requires old people but doesn't require an OR or expensive equipment.

[LittleDaisy]

8 minutes ago, Snowmen said:

In Quebec, you'll easily find a job in anything that requires old people but doesn't require an OR or expensive equipment.

I think that it is the case for any Canadian province, geriatrics is one of the IM sub-specialty with great career prospect! 

[Medaholic93]

6 hours ago, zizoupanda said:

Which IM subspecialties have the best job prospects in the near future?

Which IM subspecialties are the best bet for securing quickly a (community) job without too much hassle and without needing extra training (fellowships and/or a Master's)?

I've heard the job market for Nephro is awful while most Cardio and GI grads require one or more fellowships before being able to find a job. Is that true? If so, which of the other subspecialties are more in demand?

The job market for Cardio, GI, and nephro is extremely tight from what I've heard shadowing fellows and R5s in those respective specialties. For instance, I recently shadowed a GI fellow who was going into his 2nd fellowship of ERCP (3 year core IM + 2 year GI + 2 years fellowship) on top of pursuing a couple of research projects - all in the hopes of being able to find a job next year with no guarentee. He basically told me if he was to start over, he'd steer far away from this field since job prospects are bleak and he's stuck in limbo watching all of his colleagues who've been in practice for a couple of years, and he's got a family of four. Kind of sad to hear, but it's real insight that isn't taught in classes or on the wards.

[freewheeler]

17 minutes ago, Medaholic93 said:

The job market for Cardio, GI, and nephro is extremely tight from what I've heard shadowing fellows and R5s in those respective specialties. For instance, I recently shadowed a GI fellow who was going into his 2nd fellowship of ERCP (3 year core IM + 2 year GI + 2 years fellowship) on top of pursuing a couple of research projects - all in the hopes of being able to find a job next year with no guarentee. He basically told me if he was to start over, he'd steer far away from this field since job prospects are bleak and he's stuck in limbo watching all of his colleagues who've been in practice for a couple of years, and he's got a family of four. Kind of sad to hear, but it's real insight that isn't taught in classes or on the wards.

NO THANKS

[#YOLO]

41 minutes ago, freewheeler said:

NO THANKS

both of my cousins have done almost 10 years of PGY before they got subspec jobs. -.-

[Economist]

2 hours ago, Medaholic93 said:

The job market for Cardio, GI, and nephro is extremely tight from what I've heard shadowing fellows and R5s in those respective specialties. For instance, I recently shadowed a GI fellow who was going into his 2nd fellowship of ERCP (3 year core IM + 2 year GI + 2 years fellowship) on top of pursuing a couple of research projects - all in the hopes of being able to find a job next year with no guarentee. He basically told me if he was to start over, he'd steer far away from this field since job prospects are bleak and he's stuck in limbo watching all of his colleagues who've been in practice for a couple of years, and he's got a family of four. Kind of sad to hear, but it's real insight that isn't taught in classes or on the wards.

Is that for academic positions in a large academic hospitals? I don't see why you would need 2 years of fellowship (or any) to join a community cardiology practice in GTA region.

[zizoupanda]

8 hours ago, Medaholic93 said:

The job market for Cardio, GI, and nephro is extremely tight from what I've heard shadowing fellows and R5s in those respective specialties. For instance, I recently shadowed a GI fellow who was going into his 2nd fellowship of ERCP (3 year core IM + 2 year GI + 2 years fellowship) on top of pursuing a couple of research projects - all in the hopes of being able to find a job next year with no guarentee. He basically told me if he was to start over, he'd steer far away from this field since job prospects are bleak and he's stuck in limbo watching all of his colleagues who've been in practice for a couple of years, and he's got a family of four. Kind of sad to hear, but it's real insight that isn't taught in classes or on the wards.

Wow, that's a nightmare scenario. Just to clarify, is he geographically constrained to a certain city and/or want an academic job?

[futureGP]

Community means different for diff people.

in the GTA, good luck finding any job in medicine subspecialties except for Geriatrics and maybe GIM. Private cardiology practice isn't what it used to be in the past where you can open up your office, buy yourself an echo machine and start seeing patients. Now you need to be licensed by the province as an independent health facility to do echos which means you need a level 3 echo license which means an echo fellowship. Plus you need to get a license and who will give out a new license in the GTA where it is already saturated with cardio-diagnostics. So you're looking at essentially 3 GIM + 3 Cardio + 1-2 years of fellowship in imaging, heart failure, EP or interventional to even qualify joining a group that already exists.

Same with GI where all scope clinics, inpatient scopes are saturated by older docs who's been there for a while. Hard for a new GI to get into those jobs unless you can bring in new skills in something the older guys want to off-load on. Above mentioned situation seems correct.

Same with Nephro where dialysis time is essentially key and most places in GTA are already saturated.

Same with Resp where sleep/PFTs are all provincial regulated licenses and GTA is pretty much saturated.

So you're left with really Endo/Rheum/Allergy. Sure you can open up your practice, but you may need some time to fill up your practice if you're in a saturated area with 5-6 specialists around.

Geri will always have jobs in Toronto/BC cuz nobody wants to do Geri.

 

In further places like Kingston, London, Barrie, Owen Sound, subspecialists will have better luck finding a job. The key is essentially finding a community where there is subspecialty need and breaking ground. Unfortunately nowadays it means working in small-medium sized communities which may not be ideal for some but good for others.