Arg. Now Im angry, and Im post-call but cant sleep, and I have a headache, but Im going to write and try not to offend everyone.
This whole "IM is not a specialty, it is a default" statement is nothing but Surgical Arrogance.
The National Residency Matching Program lists 24 distinct SPECIALTIES in their annual report. Obviously, combined residency programs or fellowships are not counted here. (see table 13 in the report)
According to this report, Internal Medicine is a specialty. Also included on this list are Orthopedic Surgery, and General Surgery.
The American Board of Medical Specialties list about 33 distinct Specialties (I cant count right now), as well as a whole lot of Subspecialties. Their list is a bit longer because they further subcategorize some of the fields like Pathology or Genetics. Internal Medicine is listed as a specialty according to the American Board of Medical Specialties.
So that settles that
Also, what 'default' means is still unclear. If it means 'the first step' or 'un-specialized', then Orthopedic Surgery is also a default, with Hand or Spine Surgery as the specialty.
So, what "IM is not a specialty, it is a default" could only mean is that "I look down upon Internists". Because it certainly does not mean that IM isn't a specialty as per the NRMP and the ABMS.
So now, about personality and chosen field of practice....