I know internists do general medicine, but how hard, if possible, is it to get an internist job in an IM-specialty group practice? Or, if you are hired by a hospital as an internist, can you choose which IM specialty ward you'd like to focus on, despite having no fellowship? If yes, how common is it in the U.S.? I'm asking after a conversation with an African based pediatrician. She was telling me it's possible in her hospital. She wanted to deal with mostly pulmonology cases because of interest on it and as a possible future consideration for a fellowship, but was asked to work in the 'allergy clinic' instead where there's a bigger shortage.