Electrophysiology competativeness and lifestyle

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dr niceguy

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Hey guys. Can anyone comment on how difficult it is to land an EP fellowship after cards? Also, the general perception I get is that EP has a better lifestyle than interventional and still gets to do interesting procedures- is this valid or do they pull the same hours as an interventionalist? Thanks

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EP fellowships are competitive across the board. As with most things, your best bet is in your own 3 year cardiology fellowship as most programs take at least half their EP fellows from within, maybe more. I still think the biggest jump is landing a cardiology fellowship program to begin with.

As for lifestyle, EP compensation is near cath. Lifestyle is quite variable but you'll never come in during the middle of the night for an acute case which is a big adavantage for many people.
 
EP lifestyle is variable in what sense? Can it be basically 9-5 with whatever call the group is taking? What are some ranges and averages? Sorry, I couldn't find this info anywhere
 
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EP lifestyle is variable in what sense? Can it be basically 9-5 with whatever call the group is taking? What are some ranges and averages? Sorry, I couldn't find this info anywhere


I would be interested in knowing that as well
 
This is, of course, highly variable, but generally speaking the pay for EP is greater than non-invasive but somewhat less than interventional. As previously stated, there is rarely such a thing as an emergency case that'll get you up in the middle of the night although I've seen this happen in unusual and dramatic circumstances.

With current technology and techniques, some EP procedures can be lengthy, verging into the 4+ (sometimes 6+) hour range. That has to be acceptable to you. (It isn't to me.)

It's a fairly esoteric field, even to non-EP cardiologists who frequently want nothing to do with complicated EP problems. In that respect, you are a true subspecialist, working in areas that nobody else has the foggiest clue about. Every cardiologist has had some experience with the cath lab, reading cath films, etc. Not every cardiologist has any quality experience in the EP lab, interpreting EP studies, etc.

Really you just need to spend good quality time in an EP lab and see if you are interested in what is going on.
 
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