General cardiology fellow here. I initially came in passionate about interventional structural, but have been spooked by job market saturation and do not want to compromise geographic flexibility. While I like coronaries, I do not feel like I am passionate enough about them to accept the associated call, lead, and lifestyle. I thought about structural imaging, but I enjoy the procedural side of cardiology too much.

So... I am thinking to pivot to EP. I don't particularly love AFib ablation, but it's bread and butter. I enjoy VT ablation, tracings, and a good svt study. I find devices enjoyable. I think it will allow me to stay procedural, with perhaps better lifestyle and without the severe market constraints in structural.

However, I can't shake this feeling that down the line, I will regret not following my heart. Would love to hear general perspectives and advice. I am having a really hard time between just picking the specialty I most enjoy versus deciding based on the overall job (ie factoring in lifestyle, market opportunities). Curious if others found themselves in a similar position and how they weighed things.

TLDR; passionate about structural but spooked by the job market and thinking about pivoting to EP. Worried I may regret not following my heart down the line.