Cardiology vs. obstetrics and gynecology 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. obstetrics and gynecology 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. Obstetrics and Gynecology: 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.”
Obstetrics and gynecology, meanwhile, offer more job openings. You can easily find a hospital that needs an obstetrician-gynecologist, and the career outlook is positive, even if the salary is not as high as cardiology. But obstetrics and gynecology also come with some challenges, such as higher burnout and less job security, which we will discuss later.
According to recent data, cardiologists earn an average annual salary of $507,000, while obstetrician-gynecologists have a lower average salary of $337,000. 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.
Cardiologists earn $507,000 per year on average, while obstetrician-gynecologists earn less with $337,000 annually
Cardiology vs. Obstetrics and Gynecology: 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 obstetrics and gynecology, the unmatched percentage among US Seniors was 16.1%, making it moderately competitive among US residencies in the 2022 Match.
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 than obstetrics and gynecology. 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. obstetrics and gynecology are not the same. Cardiology involves a three-year internal medicine residency and a cardiology fellowship. Obstetrics and gynecology involve a four-year obstetrics and gynecology residency.
An obstetrics and gynecology 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. Obstetrics and Gynecology: Work-Life Balance
Work-life balance is a crucial factor for many medical professionals. Cardiologists and obstetrician-gynecologists have to deal with demanding schedules and on-call duties. However, due to the nature of their work, obstetrician-gynecologists may have a slightly better balance between work and personal life. They often have a more consistent work schedule that allows for more time off.
Both cardiology and obstetrics and gynecology 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. Obstetrics and gynecology ranked near the upper end of medical specialties, with an average of 53.9 weekly working hours.
Cardiologists work an average of 56.2 hours per week, while obstetrician-gynecologists work slightly fewer hours, at 53.9 per week.
Both cardiologists and obstetrician-gynecologists have to deal with long hours of documentation. This is due to the increased number of diagnostic and monitoring tests. Cardiologists spend an estimated 16 hours on admin and paperwork per week, while obstetrician-gynecologists spend slightly less with 15 hours per week.
Cardiologists work on admin/paperwork an average of 16 hours per week, while obstetrician-gynecologists work slightly fewer hours at 15 per week.
Training Duration and Subspecialties
The training duration is a key aspect to consider when choosing between cardiology vs. obstetrics and gynecology. Obstetrics and gynecology have a four-year training period, 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. Obstetrics and Gynecology: 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 obstetrics and gynecology. 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 obstetrics and gynecology.
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 obstetrics and gynecology ranked near the lower end with 76% of obstetrician-gynecologists feeling the same way.
Cardiologists reported a 93% job satisfaction rate, while obstetrics and gynecology reported lower satisfaction with 76%
That being said, the burnout rates for cardiology were 43% which was near the lower end of all medical specialties, while obstetrics and gynecology’s burnout rates were 58% ranking near the upper end of all medical specialties.
Cardiologists have a burnout rate of 43%, while obstetrician-gynecologists have a higher burnout rate of 58%.
Cardiology vs. Obstetrics and Gynecology Comparison
To provide a visual overview, here’s a table comparing cardiology vs obstetrics and gynecology:
| Aspect | Cardiology | Obstetrics and Gynecology |
|---|---|---|
| Average Salary | Generally high income due to specialization, especially in interventional cardiology | Lower than cardiology |
| Job Security | High demand due to an aging population and the prevalence of cardiovascular diseases | High demand due to increasing rates of women's health issues and pregnancy complications |
| Training Path | Typically involves 3 years of internal medicine residency followed by a 3-year cardiology fellowship | Typically involves four years of obstetrics and gynecology residency |
| Lifestyle | Varied; may involve on-call responsibilities, long working hours, and outpatient clinic duties | Varied, with on-call responsibilities and emergency deliveries |
| Administrative Paperwork | High documentation requirements such as notes, test orders, and referral letters | High documentation requirements such as notes and tests |
| Job Satisfaction | Generally high but can vary with the work environment and patient outcomes | Lower |
| Burnout Rates | Relatively lower | Higher |
| Personality | Strong analytical skills, attention to detail, ability to handle stress and pressure | Strong communication and empathy skills, ability to handle sensitive and intimate patient concerns |
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. obstetrics and gynecology 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.
