I am planning on specializing. I was thinking about either nephrology or pulmonary/critical care. I personally don't like many aspects of primary care, sometimes I just feel like 70% of office visits are wastes of time. A lot of the stuff that people come in complaining of isn't found in text books, and I hate the idea of having to look for 1 in a thousand diseases or risk being sued if someone comes in with vague complaints and I fail to work them up for it. A lot of people enter residency with the plan of specializing and then change their mind mid-residency, and the vice versa also seems to happen as well. I just like the idea of being an expert in one organ system while retaining the knowledge of a general internist.