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general cardiology


Guest copacetic

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  • 1 month later...

Echo, treadmill stress tests, and diagnostic caths are commonly done by community general cardiologists, even in a large centre like Toronto. As you get further away, add in more and more procedures.

 

ECGs and Holters are also done of course, and general internists can do these in many centres.

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Guest copacetic

so if there are a bunch of GIM folks in a centre, and one general Cards, who is gonna do the cards procedures? like what happens if the GIM guys have been doing the cards stuff for years and a cards guy comes along. who does what? and why?

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When a new doc gets hired, if he's joining an existing department, he'll usually get some portion of the existing work. If it's a new specialist where there were none before, like in your example, it depends on the deal reached between the new guy and the administration. If the previous generalists still want to keep doing those procedures, they'll usually work out some way to split them (eg, MWF GIM does the stress testing, TTh Cards does). If they don't want to do the procedures, they'll give them up.

 

Also, many community cardiologists have their equipment in their office outside the hospital. If they advertise well, they can get direct referrals from family docs and other internists for the procedures and bypass the need to share with the other docs in the hospital. Downside is they have to pay the capital costs for the equipment themselves.

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Guest copacetic

ive also noticed that general cards seems to be dying. everybody is sub specializing (presumably because they want to work in major cities where youre better of sub specializing). is this true?

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  • 1 year later...

I was wondering.... if one was interested in pursuing a cardiology focused practice in the community, is it even necessary to do a additional 3 year cardio fellowship after IM? What is the advantage of doing a cardio fellowship if your end plan is to work in a community practice? I was under the impression that general internists can also have a cardio focused job in the community. Is it that the only advantage of doing a cardio fellowship is to be able to work in a university centre with cath, imaging, etc facilities?

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http://rcpsc.medical.org/residency/GIM_faq_e.pdf

 

The above document describes how general internal medicine specialists are better able to focus on a subspecialty versus the 4 year IM trained people. General internal medicine will require 5 (3+2) years soon.

 

What do you do if you want to specialize in Cardiology? Would it be after GIM or after IM?

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  • 1 month later...

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