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Halo

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Hi,

 

I am trying to find out a little bit more about the job situation in cardiology. I know it has been mentioned in other places that academic cardiology has very few job availabilities in Canada. However, I would like to know what the job situation is for community cardiology (clinic or community hospital). Are there more jobs available in the community and are they reimbursed as well as academic positions.

 

Do any of you know (through colleagues, etc) whether graduating cardiology residents have ever been jobless upon completing their training? Have people ever had to revert back to general internal for a while?

 

Regards

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Community or private practice generally pays more than academics.

 

I don't think it's impossible to get a job in cardiology. Just that most of the jobs in major markets (Vancouver for instance) are saturated and so be prepared to move to a smaller or less desirable market. Either that or be prepared to do more training.

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Community or private practice generally pays more than academics.

 

I don't think it's impossible to get a job in cardiology. Just that most of the jobs in major markets (Vancouver for instance) are saturated and so be prepared to move to a smaller or less desirable market. Either that or be prepared to do more training.

 

Does this also apply to other internal medicine sub-specialties (in particular gastroenterology)?

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Does this also apply to other internal medicine sub-specialties (in particular gastroenterology)?[/

 

Gastro I'm pretty sure is saturated in Vancouver. One girl I heard of had to do a hepatology fellowship before getting in with a call group in Vancouver. Problem is lack of scoping time in gastroenterology. Even for my speciality things are not looking too good job wise here in the lower mainland.

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In the east it seems to be the same problem... All major centres are fully saturated as far as I know. For cardiology, people have for sure had to do clinical fellowships on top of general cardio to get employment in academic centres. Whether people have had to do master's degrees after their clinical fellowships I am not too sure of.

 

I guess worst come worst, working in community clinics doing exercise treadmill tests and echos is another option. Not sure how such general community cardio jobs are reimbursed (seeing as they are not very procedural). Any ideas?

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In one of the clinics where I work, we have cardiologists come in from time to time doing treadmills. They also do PCI in the local community hospitals. We also have GI, resp, psych and ophthal come in (we have a dedicated eye room).

 

As for billings, the cardiologist in our clinic billed almost 1 million last year. I'm not sure how much they pay in overhead, but I'm sure some of them own a share in the clinic and are an associate. The primary owner is a family doc and I'm sure he makes a killing in terms of billings off of the specialists (likely well over a million a year given he has not only family docs but so many specialists use his clinic).

 

If you care only about money, go into private practice. You will not make anywhere near 1 million in academics. Academics is not at all lucrative, compared to private practice.

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I guess worst come worst, working in community clinics doing exercise treadmill tests and echos is another option. Not sure how such general community cardio jobs are reimbursed (seeing as they are not very procedural). Any ideas?

 

I'm not a cardiologist or even an internist, but my understanding (based on a lengthy rant from a staff cardiologist who is also an advisor to my province's MoH*) is that even the non-interventionists make bank in the community. Apparently the time:remuneration ratio for an echo is quite attractive, especially if you are part or full owner in the clinic doing the test.

 

Even the lowly EKG can be the source of big bucks if you play your cards right. Apparently the trick is to get yourself associated with a lab that does tens of thousands of EKGs a year. You sign up to read a few thousand EKGs and get five-digit remuneration for doing so. But since you're reading the EKGs in your office, with a nice cup of coffee and some soft classical music in the background, the labour:reward ratio is significant.

 

But again, I'm not speaking from experience.

 

 

 

*Dr. RM, for those of you familiar with SHSC.

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