I was wondering why he/she kept saying "US radiology is done"
Radiology definetely not done. Im a senior resident and there is ton of interest in med students still wanting to do radiology. Why , because not everyone cares about money. Some people are actually interested in the work and technology the field entails.
As far as jobs, sure it not as good as it was before but that goes for all specialties. Radiology still offers the most options. U cant find a job in the city u want to live in, u could always do telerad and live anywhere u want!!
As a senior rads resident, Me and my wife are trying to decide whether to take an IR job vs do telerad and move to the city we want/and possible do IR there vs working in New Zealand for 1 year (kind of work abroad, get away before starting a real job in the US). Again, u have tons of options. I get phone calls and emails about jobs all the time and this is only going to increase as I get closer to finishing fellowship. So dont let this scrub scare u and apply to radiology.
Sure cards and vascular do alot of IR, but IR can do these things, as well as IO, womens therapy, CT/MR guided procedures, and do diagnostic.
I am going to a IR PAD workshop this month, then a IR/vascular surgery dialysis conference in October. And possibly an IR liposuction course later in the year. The point is that IR is so flexible. There are multispecialty groups out there hiring IR for PAD so again, u have lots of options.
I know IR that work for vascular groups, nephrology groups, urology groups, stand alone, and radiology groups. The oportunities are out there. Plus cards have to do 3 year IM + 3 year cards + 1 year cards IR + 1 year additonal for vascular disease. thats 8 years compared to 6 for IR. Vascular surgery , im not sure as they have integrated programs. Again both are good fields, but u still cant go wrong with rads. With reimbursements dropping, many IR are getting there PAD work back.
The place where I moonlight, the IR are doing alot of the PAD, including EVARS, lower limb vascular work, carotids.. There are turf wars but this is the land of opportunity, U just have to go out there and do it. Or u can be a little beeyatch and give up.
AND if u dont want to do IR, there is growing demad for cardiac, breast, body as well as MRI is becoming more widely used and trust me, even general rads aren't that comfortable with MR, so u know other specialites will want subspecialiezed rads reading Msk, body (for oncology), etc..