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Regardless of what various governing bodies like to call it, I don't view things like pediatrics, internal medicine or general surgery as specialties. And I'm thinking about general surgery. If I go into general surg, I wouldn't tell people "Oh, I'm planning on being a specialist."
I agree, and this adds another dimension to the symantics. In the vernacular "specialty" can have a number of meanings. But, I think that the vernacular pretty consistently says that you must do a subspecialty/fellowship in order to be a "specialist". Unless you do a residency in ortho, optho, emergency, plastics.... which kinda makes you a specialist in something. Or what about psych, radio, or path? Are you a specialist because you are in THE field which deals with mental illness, or can make a radiologic or histologic diagnosis?
Is being a member of an exlusive group what makes you a specialist? Or is a specialist one who deals exclusively with a particular organ system? Or is a specialist someone who is trained in general surgery or medicine, and has specialized their practice to a particular organ system?
I dont know. What I am pretty sure about is that saying that I'm special, and someone else is not isn't cool.
