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Cardiology vs. Neurology: Which Specialty is Right for You?

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by Yousmle Staff in Career

Cardiology vs. neurology is one of the biggest debates among medical students interested in physiology. Both specialties allow you to explore the complex workings of the human body and use your skills to improve patient outcomes. However, they also have significant differences, such as the scope of practice, the work environment, and the training requirements.

How do you decide which one is right for you? In this article, we will provide helpful information and tips to help you make an intelligent decision on cardiology vs. neurology and find a fulfilling career that matches your interests and abilities. We will also help you evaluate practical factors such as job availability, salary, and training duration.

Cardiology vs. Neurology: Salary and Job Security

Cardiology might be your specialty if you want to earn a lot of money and have a steady demand for your services. But be prepared for a competitive job market after fellowship, even if you graduate from a prestigious program. A Harvard-MGH fellow once told me, “I’ll consider myself lucky if I find a job in a city I recognize.”

Neurology, meanwhile, offers more job openings. You can easily find a hospital that needs neurologists, and the career outlook is positive, even if the salary is not as high as cardiology. But neurology also comes with some challenges, such as higher burnout and less job security, which I will discuss later.

According to recent data, cardiologists earn an average annual salary of $507,000, while neurologists have a lower average salary of $313,000. Of all medical specialties, only orthopedists and plastic surgeons have higher average annual salaries than cardiologists, with orthopedists earning $573,000 and plastic surgeons earning $619,000.

Estimated Physician Average Yearly Salary by Medical Specialty in the US

Cardiologists earn $507,000 per year on average, while neurologists earn less with $313,000 annually

Cardiology vs. Neurology: Competitiveness

Here we can assess the competitiveness of a specialty by looking at the unmatched rate – the % of people who apply and do not match into their preferred specialty. For neurology, the unmatched percentage among US Seniors was 2.3%, making it less competitive among US residencies in the 2022 Match.

Cardiology vs. Neurology

To pursue a career in cardiology, you must first match into an internal medicine residency. Among US Seniors, the unmatched percentage for internal medicine residency was only 2%, making it less competitive than other residencies. However, this does not necessarily mean that cardiology is less competitive. After completing your internal medicine residency, you will still need to match into a cardiology fellowship, which is generally highly competitive. 

Below is the unmatched percentage among non-pediatric fellowships with >100 applicants. The unmatched percentage of US Seniors applying to the cardiovascular diseases fellowship was 16.6%, making it more competitive compared to most fellowships with >100 applicants.

Training Path: Fellowship vs. Residency

The training pathways for cardiology vs. neurology are not the same. Cardiology involves a three-year internal medicine residency and a cardiology fellowship. Neurology involves a one-year internship in internal medicine followed by a three-year neurology residency.

A neurology residency is generally less competitive than a cardiology fellowship. Your USMLE scores, med school, and research are the main things for residency applications. Research is also a big thing for fellowship applications, and your residency program counts more, but your USMLE scores matter much less.

Cardiology vs. Neurology: Work-Life Balance

Work-life balance is a crucial factor for many medical professionals. Neurologists often enjoy a better work-life balance due to the nature of their work. They usually have predetermined working hours, leading to more predictable schedules.

Both cardiology and neurology are patient-centric specialties that require building long-lasting relationships with patients. While this can be rewarding, it also means carrying a patient panel and more administrative work.

That being said, cardiologists work an average of 56.2 hours/week, ranking third after general surgeons and intensivists who work 57.4 and 57.7 hours, respectively. Neurology ranked in the upper middle of medical specialties, with an average of 53 weekly working hours.

Estimated Physician Weekly Working Hours by Medical Specialty in the US

Cardiologists work an average of 56.2 hours per week, while neurologists work slightly fewer hours, at 53 per week.

Both cardiologists and neurologists have to deal with long hours of documentation. Neurologists spend slightly more hours, approximately 18 hours per week, due to extensive diagnostic tests. Meanwhile, cardiologists spend around 16 hours per week on admin/paperwork.

Estimated Physician Admin/Paperwork Hours by Medical Specialty in the US

Cardiologists work on admin/paperwork an average of 16 hours per week, while neurologists work more hours at 18 per week.

Training Duration and Subspecialties

The training duration is a key aspect to consider when choosing between cardiology vs. neurology. Neurology has one year of internal medicine internship followed by a three-year of neurology residency, while cardiology has a minimum of six years, with three years of internal medicine residency.

In addition, cardiologists often pursue more subspecialty training in fields like echocardiography or electrophysiology because of the scarce job opportunities. This can increase the length of your cardiology training.

Cardiology vs. Neurology: Job Satisfaction and Burnout Rates

Job satisfaction plays a significant role in career fulfillment. According to various studies, cardiology tends to have higher job satisfaction rates than neurology. Many cardiologists express contentment with their career choice and would choose it again if given the chance. Additionally, cardiology has lower reported burnout rates than neurology.

According to recent data, cardiology ranked near the upper end of all medical specialties with 93% of cardiologists stating that they would choose the same specialty again, while neurology ranked moderately lower with 79% of neurologists feeling the same way.

Job Satisfaction Rate By Medical Specialty in the US

Cardiologists reported a 93% job satisfaction rate, while neurologists reported lower satisfaction with 79%

That being said, the burnout rates for cardiology were 43% which was near the lower end of all medical specialties while neurology’s burnout rates were 55% ranking above the middle of all medical specialties.

Burnout Rate By Medical Specialty in the US

Cardiologists have a burnout rate of 43%, while neurologists have a slightly higher burnout rate of 55%.

Cardiology vs. Neurology Comparison

To provide a visual overview, here’s a table comparing cardiology and neurology:

Average SalaryGenerally high income due to specialization, especially in interventional cardiologyLower than cardiology
Job SecurityHigh demand due to an aging population and the prevalence of cardiovascular diseasesHigh demand due to increasing rates of neurological disorders and advancements in treatment options
Training PathTypically involves 3 years of internal medicine residency followed by a 3-year cardiology fellowshipTypically involves one year of internal medicine internship followed by a three-year of neurology residency
LifestyleVaried; may involve on-call responsibilities, long working hours, and outpatient clinic dutiesTypically more regular working hours, but may also have on-call duties and emergency consultations
Administrative PaperworkHigh documentation requirements such as notes, test orders, and referral lettersHigh documentation requirements such as notes, referrals, and tests
Job SatisfactionGenerally high but can vary with the work environment and patient outcomesLower
Burnout RatesRelatively lower Higher
PersonalityStrong analytical skills, attention to detail, ability to handle stress and pressureStrong problem-solving and critical thinking skills, ability to handle complex and challenging cases

Please note that this table serves as a general comparison. To determine the most suitable career for you, consider your personal and career priorities and goals.

Concluding Thoughts

Choosing the right specialty between cardiology vs. neurology depends heavily on your priorities. To determine this, try reverse engineering your ideal life and identify your top priority. A helpful exercise is to write down the top five things you want to achieve in your career and personal life. Knowing these priorities will make finding a career that aligns with them easier. Often, the biggest obstacle is not a lack of knowledge about different fields but a lack of self-awareness about our own preferences.

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Want FREE Cardiology Flashcards?

Cardiology is key for impressive USMLE scores. Master cardiology from a Harvard-trained anesthesiologist who scored USMLE 270 with these 130+ high-yield flash cards. You’ll be begging for cardio questions - even if vitals make you queasy.