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Discussion

Most marketable?

Hi all!

I am a new adult-gero primary care NP graduating this month. I am in a wonderful position in that I am anticipating 2 job offers (already had interviews, HR has asked if they can talk to my current manager, etc.). Here's the thing though: I know I only want to stay in this geographical area for another 1-2 years. Then I want to move home to Hawaii, which is a smaller healthcare market.

So, with that in mind, which position do you think would be a better choice: inpatient cardiology (I have RN experience in cardiothoracic surgery/heart failure) or as a hospitalist NP? With the hospitalist position I would be mostly doing admissions so I would probably see a lot. I think I would probably like cardiology more but I am concerned that specializing so early could be a bad idea. Any thoughts?

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    What's the best fit in HI?

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    • Author

    I'm not sure. I guess maybe the question should really be: are you more marketable with generalist (hospitalist) experience, or with specialty (cardiology) experience?

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    I'd say hospitalist because you get to manage everything including cardiology.

    Plenty of clinicians have this romanticized notion of working with the heart so I'm sure a lot of NPs have experience from either their NP or RN work.

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    Hearts are tinker toys. Never understood why so many people are fascinated with hearts and um, whats that other word nurses use all the time... hemodynamics... I think thats it.

    Now to go have a drool fest over my water pump.

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    Look at my avatar. Gene Wilder as Dr. Frankenstein raving "hearts and kidneys are tinker toys."

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    I say hospitalist because I would think that could keep you marketable for anything, just in case you get to HI and have little choice. The job markets tend to change so much in 1-2 years that I would say looking at what they need now might not give you the best picture of what they will need then. But it really depends. I also think that starting as a hospitalist might let you get your feet wet in many different areas, giving you a better foundation. Good luck!

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    • Author

    I was thinking along these lines and this is why I applied to the hospitalists in the first place. I have a few days before I need to accept, but I think I will take the job. Thanks for the advice, everyone!

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    I've heard your job prospects are pretty good after working in a pain clinic for a while.

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    Look at my avatar. Gene Wilder as Dr. Frankenstein raving "hearts and kidneys are tinker toys."

    Actually its Frahn-ken-shteen.

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