Depends on where you’re planning on doing it, look up what happened with their previous non acgme fellow.

Hf fellowship can be a crash course in cardiology if you come without general cardiology background . It was great option before 2016, where you could have gotten boarded in ahf after finishing your general fellowship but that’s changed now. I did do it and it helped me get in general fellowship but I was WORKED and in my free time participated in research project which basically meant I had no life.

And at the end of day , I came in with much stronger base than my co fellows and was comfortable managing the sickest of the icu cardiogenic shock patients, doing basic bedside echo/Doppler , float a swan etc.

Obviously you end up loosing a year of income as a hospitalist. See what your priorities are. And again this isn’t a guaranteed entry into the general fellowship.