2 answers
2 answers
Updated
Caroline’s Answer
Being in cardiac surgery and healthcare in general for 20+ years, I have witnessed how the business of healthcare has evolved. In my earlier years, It was an open playing field. Any independent cardiac surgeon could practice with privileges at a hospital and do surgery based on their referrals. I worked as a Nurse Practitioner supporting the service and mostly all surgeons that had free roam to book their case. Closer to 10+ years ago, the hospitals have contracted or simply hired specific surgeons. If you weren’t hired and unfortunate to not be in the “in” group, then we would see less and less of certain surgeons. This has been the trend for other specialties as well. In other words, cardiac surgeons have become less independent practice and more of a hired on employee of the hospital. I just feel bad for the surgeons that didn’t get picked to be hired, which didn’t mean they were not excellent surgeons. Many of those cardiac surgeons ended up opening their own vein clinics…but that also proved more lucrative for them, they just didn’t do hearts anymore. They also have the responsibility of running the business for these vein clinic enterprises, which could be desirable or not. So in addition to having good outcomes and the talent, make an impression, network with the right folks, and be a good negotiator if you truly want to be an employed heart surgeon.
Updated
Wendy’s Answer
Coming from a RN that is familiar with that realm, it will fluctuate a bit more. The latest political shifts are creating space for female surgeons, there has been an increase in the amount of female surgeons [1], acceptance, inclusion and an increase in diversity.
- Baumgartner, William A et al. The Annals of Thoracic Surgery , Volume 71 , Issue 2 , S22 - S24
I would suggest making sure to being making connections to be able to get into the program you want on the first try.
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