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How to Become a Cardiologist


Overview

Most people seek out the help of a doctor when they’re feeling under the weather. When a possible issue with the heart has been identified, patients are referred to doctors who have spent years learning all about the heart and cardiovascular system, and the different potential problems and treatment plans available. The Heart Foundation states that an estimated 80 million Americans have one or more types of heart disease, and heart disease is the number one cause of death for both men and women in America. The increase in awareness and treatment technology, as well as a growing need for highly-qualified doctors who specialize in heart care, has led to a huge employment surge for cardiologists.

What is a Cardiologist?

A cardiologist is a doctor who has chosen to specialize in heart diseases, conditions and treatments. These professionals have taken their general medical educations further and have spent years studying the way the heart works in an effort to provide the best possible heart care, which involves diagnosing irregularities and conditions, as well as creating treatment plans and following the progress of treatment in their patients.

Cardiologists are trained to:

  • Identify heart-related health conditions, from heart rhythm disturbances to heart disease and heart failure.
  • Counsel patients about the risk of heart disease, as well as prevention techniques and treatment plans.
  • Provide specialized heart and cardiovascular system care, including procedures like cardiac catheterization, balloon angioplasty or other types of simple heart surgery.

Cardiologists not only treat heart-related conditions, but many spend a lot of focus counseling individuals on how to prevent those conditions. Dr. Caldwell Esselstyn, cardiologist and director of the cardiovascular prevention and reversal program at The Cleveland Clinic Wellness Insitute, says, “Stents and bypass surgery in an emergency setting are absolutely lifesaving. However, for non-emergency situations an intensive lifestyle trial of 3-6 months would eliminate the need for most interventions.”

Educational Track

A doctoral or professional degree is the entry-level educational requirement for cardiologists.

Step by Step Educational Path of a Cardiologist

  1. Earn a bachelor’s degree. The journey to becoming a cardiologist starts with a four-year undergraduate degree. Although there is no required major, most cardiologists stick with a science-related degree such as biology or chemistry, or opt for a cardiovascular technology (CVT) degree. CVT bachelor’s programs are often very competitive and applicants must fulfill required prerequisites before being considered.
  2. Take the Medical College Admissions Test (MCAT). Nearly all medical schools require that applicants present their MCAT scores when applying. The MCAT is a standardized, multiple-choice test which assesses a student’s critical thinking abilities, knowledge of science concepts and problem solving skills. Most schools require test scores that are less than three years old.
  3. Apply to medical school. Medical school is the next step for a future cardiologist, and will last for four years. During this time, students will study subjects like pharmacology, anatomy and psychology. Throughout the first two years of coursework, they will learn various medical practices like interviewing patients for medical history details, examinations and diagnosing certain illnesses. The last two years of medical school typically involves clinical rotations throughout various specialties, where students work under the supervision of doctors. This is an essential step in the education process, when students gain valuable experience working with actual patients.
  4. Take part in a residency program. After graduating medical school, future cardiologists must take part in a residency program which allows them to study under the supervision of physicians. Residency programs are different lengths depending upon the specialty; cardiologists will attend internal medicine residencies, which last for 3 years. After completion of the residency, future cardiologists can become certified through the American Board of Internal Medicine. This certification in internal medicine will be required to later become a board-certified cardiologist.
  5. Obtain a fellowship program. For cardiologists, once the residency has ended, it is time to attend a fellowship program. During the fellowship, future cardiologists continue to work with physicians and gain advanced training in cardiology and prevention, diagnosis and care. Most cardiology programs last 3 years.

Career Path

The Bureau of Labor Statistics reports that 307,220 physicians and surgeons were employed within the US in May of 2012. Of those, 142,880 were employed in physicians’ offices. Other physicians and surgeons worked in general medical and surgical hospitals (91,860), colleges and universities (11,130) and outpatient care centers (9,580).

In a physician’s office, a cardiologist sees patients who have been referred by general physicians or emergency room doctors. They work with patients suffering from a variety of cardiac conditions, often attributed to genetics, lifestyle, disease or injury. Those working in medical and surgical hospitals see patients who come in with heart-related sicknesses or conditions, either diagnosing and treating them or referring them to a cardiothoracic surgeon for more in-depth surgical procedures.

Other facilities that employ cardiologists may include nursing homes, home health care companies and educational facilities.

Employers often look for job candidates who display the following qualities:

  • Outstanding communication skills, both verbal and written.
  • Excellent attention to detail.
  • Compassion and care to support their patients and their patients’ loved ones.
  • Innovative, quick thinking with the ability to approach a problem from more than one direction if necessary.

Cardiologists, like all physicians, must be licensed in order to practice in any state. The United States Medical Licensing Examination is divided into three different steps, all completed at different stages in the cardiologist’s medical education:

  • Step 1: The first part of the test is typically taken after the second year of medical school, and focus on the basic sciences, including anatomy, biochemistry, microbiology, etc. This portion of the test is multiple-choice, and is a one-day test.
  • Step 2: The second part of the test is a two-day test and is typically completed during or just after the fourth year of medical school. The first component of the test gauges a future cardiologists clinical knowledge with multiple choice questions focusing on clinical sciences. The second component tests a future cardiologist’s clinical skills by having them examine and diagnose “patients” played by actors.
  • Step 3: This part is also a two-day test and is typically taken after doctors complete their first year of residency. This test focuses completely on the doctor’s ability to diagnose and treat patients, through a mixture of multiple choice questions and computer-simulated patient situations.

Cardiologists can potentially increase their chances of getting hired by considering the following:

  • AHA Membership: The American Heart Association is one of the most important associations to be involved with as a cardiologist. Members get the chance to network with other professionals, stay up to date on happenings within the industry, access educational materials (including continuing education) products and services, and more.
  • ACC Membership: The American College of Cardiology is another reputable organization well-known to cardiologists. There are more than 47,000 cardiovascular professionals in the ACC’s global network, including physicians, administrators and cardiovascular team members. Being a member entitles individuals to the latest print and online copies of several Journals of the American College of Cardiology, member publications, and the ACC mentoring program.

The mean annual salary for physicians and surgeons was $357,000 in 2013, according to the Medscape Cardiologist Compensation Report, making them the second highest paid specialty, second only to orthopedists.

With an 18% growth rate through the year 2022 (as published by the Bureau of Labor Statistics), jobs for physicians and surgeons are increasing faster than the average for all other careers. In fact, 123,300 new positions will become available through the year 2022.

Starting a Private Practice

Practicing independently is an attractive option for many cardiologists, leading them to explore the possibility of starting a private practice. However, private practice for cardiologists is becoming more difficult in today’s economy. The American College of Cardiology states that more than half of all cardiology private practices in the US have recently made major cuts to their budget, or closed their doors completely; 40% of those have chosen to work for a hospital in an effort to increase the quality of care they are able to provide.

Those who want to move forward with their own private practice must establish significant cost-cutting strategies in order to maintain independence.

There are several pros to starting a private practice, including the ability to work independently and set the standards of care within the practice. With more and more adults requiring cardiac care as they age, there are an increasing number of patients for cardiologists across America. However, some cardiologists would point out that there are more disadvantages of starting a private practice.

The cons of starting a private cardiology practice at this point in time can be traced to healthcare reform. According to MedAxiom, a consulting firm that specializes in practice management of cardiologists, the salary for those in private practice ($424,380) is lower than those in integrated groups ($548,630). In fact, the only group that experienced an increase in salary from 2012 to 2014 was interventional cardiologists, with a rise of 6.2% in their median salary from 2012. Location is also a factor; cardiologists in the Midwest earned a median salary of $559,004 while those in the Northeast earned a median salary of $460,815.

Becoming a cardiologist enables individuals to provide excellent medical care to a large group of individuals, and joining a career field that is constantly on the lookout for highly-trained heart specialists. With the growth in this industry, professionals can rely on excellent job stability as well as economic stability both for those who start a private practice and those who integrate their services with another facility.

Additional Resources

  • The American Society for Preventive Cardiology
  • American College of Cardiology
  • Association of Black Cardiologists
  • International Association of Cardiologists
  • American Heart Association

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