Cardiology vs. plastic surgery 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. plastic surgery 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. Plastic Surgery: Salary and Job Security
If you want to earn a lot of money and have a steady demand for your service, cardiology and plastic surgery are ideal specialties to consider. But be prepared for a competitive job market, even if you graduate from a prestigious program
Plastic surgery, meanwhile, offers more job openings and higher pay. You can easily find a hospital that needs plastic surgeons, and the career outlook is positive. But plastic surgery also comes with some challenges, such as higher burnout, which we will discuss later.
According to recent data, cardiologists earn an average annual salary of $507,000, while plastic surgeons have a higher average salary of $619,000, ranking at the top end of all medical specialties.
Cardiologists earn $507,000 per year on average, while plastic surgeons earn higher with $619,000 annually
Cardiology vs. Plastic Surgery: 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. Plastic surgery was the most competitive residency in the 2022 Match, with a 37.3% unmatched rate among US Seniors.
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. plastic surgery are not the same. Cardiology involves a three-year internal medicine residency and a cardiology fellowship. Plastic surgery residency requires completion of a five to six-year residency program accredited by the Residency Review Committee for Plastic Surgery (RRC-PS).
Both the plastic surgery residency and cardiology fellowship programs are highly competitive. 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. Plastic Surgery: Work-Life Balance
Work-life balance is a crucial factor for many medical professionals. While both cardiologists and plastic surgeons have demanding schedules and on-call duties, the nature of plastic surgery allows for a better work-life balance. Plastic surgeons often benefit from a more predictable work schedule and increased opportunities for time off.
Cardiology, an often patient-centric specialty, requires building long-lasting patient relationships. 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. Plastic surgery ranked in the middle of medical specialties, with an average of 52.2 weekly working hours.
Cardiologists work an average of 56.2 hours per week, while plastic surgeons work fewer hours, at 52.2 per week.
Cardiologists require more documentation, such as referral letters and diagnostic tests, resulting in an estimated 16 hours of admin/paperwork per week, while plastic surgeons work fewer hours, at 11 hours per week.
Cardiologist works on admin/paperwork an average of 16 hours per week, while plastic surgeon works fewer hours, at 11 per week.
Training Duration and Subspecialties
The training duration is a key aspect to consider when choosing between cardiology vs. plastic surgery. Plastic surgery has a five to six-year residency program accredited by the RRC-PS, 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. Plastic Surgery: Job Satisfaction and Burnout Rates
Job satisfaction plays a significant role in career fulfillment. According to various studies, both cardiologists and plastic surgeons tend to have high job satisfaction rates, with many professionals expressing contentment with their career choice and would choose it again if given the chance. However, cardiology has slightly lower reported burnout rates than plastic surgery.
According to recent data, plastic surgery ranked at the top of all medical specialties with 97% of plastic surgeons stating that they would choose the same specialty again, while cardiology ranked slightly lower with 93% of cardiologists feeling the same way.
Cardiologists reported a 93% job satisfaction rate, while plastic surgeons reported slightly higher satisfaction with 97%
That being said, the burnout rates for cardiology were 43% which was near the lower end of all medical specialties. In comparison, plastic surgery had a burnout rate of 46%, which ranked near the lower end of all medical specialties.
Cardiologists have a burnout rate of 43%, while plastic surgeons have a slightly higher burnout rate of 46%.
Cardiology vs. Plastic Surgery Comparison
To provide a visual overview, here’s a table comparing cardiology and plastic surgery:
| Aspect | Cardiology | Plastic Surgery |
|---|---|---|
| Average Salary | Generally high income due to specialization, especially in interventional cardiology | Higher than cardiology |
| Job Security | High demand due to an aging population and the prevalence of cardiovascular diseases | Stable field with availability of both reconstructive and cosmetic procedures |
| Training Path | Typically involves 3 years of internal medicine residency followed by a 3-year cardiology fellowship | Typically involves 5-6 years of plastic surgery residency |
| Lifestyle | Varied; may involve on-call responsibilities, long working hours, and outpatient clinic duties | More predictable work schedule and increased opportunities for time off, but may involve on-call responsibilities for trauma or burn cases |
| Administrative Paperwork | High documentation requirements such as notes, test orders, and referral letters | Lower documentation requirements |
| Job Satisfaction | Generally high but can vary with the work environment and patient outcomes | Slightly higher |
| Burnout Rates | Relatively lower | Slightly higher |
| Personality | Strong analytical skills, attention to detail, ability to handle stress and pressure | Dexterous and aesthetically-minded. |
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. plastic surgery 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.
