Cardiology

Internal medicine and cardiology: echo, catheter lab, rhythm, intensive care. A large specialty with a lot of technology and many guidelines.
Training in Germany (model regulations)
• Training 72 months, including 36 in cardiology, 6 in the emergency department and 6 in intensive care
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Core task
Doing echocardiography
You often learn the echo lab first and scan every day, sometimes for hours on end.
Core task
Cardiac intensive care
Shock, pulmonary oedema, ventricular fibrillation, resuscitation. You decide fast under pressure.
Cardiac catheter lab
Coronary angiography and stenting under X-ray, in a lead apron, standing for hours.
ECG, rhythm, pacemakers
You read arrhythmias, program pacemakers and ICDs and watch ablations.
Core task
Caring for heart-failure patients
Older patients with several conditions keep coming back. You adjust medication and slow the decline.
Heart-attack emergencies at night
On call for the catheter lab. The phone can ring at three in the morning.
Guidelines, scores, trials
You work a lot by algorithms and guidelines and read many trials.
A long road with many rotations
72 months of training with internal medicine, the emergency department and intensive care, plus on-call duty.
Seeing clear results
A blocked coronary artery is opened and the patient often feels better right away. That’s a tangible success.
This test is a structured self-assessment, not a validated psychometric instrument. The specialty profiles are informed estimates. Use the result as a starting point for conversations and check it with shadowing days and talks with specialists. Training information applies to Germany; the binding rules are those of the relevant state medical chamber. Specialty preferences often change during medical school, so retake the test after new rotations.
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