Specialty (medicine)

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A medical speciality is a branch of medical practice that is focused on a defined group of patients, diseases, skills, or philosophy. Examples include children (paediatrics), cancer (oncology), laboratory medicine (pathology), or primary care (family medicine). After completing medical school, physicians or surgeons usually further their medical education in a specific specialty of medicine by completing a multiple-year residency to become a medical specialist. [1]

Medicine The science and practice of the diagnosis, treatment, and prevention of physical and mental illnesses

Medicine is the science and practice of establishing the diagnosis, prognosis, treatment, and prevention of disease. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.

Oncology branch of medicine

Oncology is a branch of medicine that deals with the prevention, diagnosis, and treatment of cancer. A medical professional who practices oncology is an oncologist. The name's etymological origin is the Greek word ὄγκος (ónkos), meaning "tumor", "volume" or "mass" and the word λόγος (logos), meaning "study".

Pathology study and diagnosis of disease

Pathology is the study of the causes and effects of disease or injury. The word pathology also refers to the study of disease in general, incorporating a wide range of bioscience research fields and medical practices. However, when used in the context of modern medical treatment, the term is often used in a more narrow fashion to refer to processes and tests which fall within the contemporary medical field of "general pathology," an area which includes a number of distinct but inter-related medical specialties that diagnose disease, mostly through analysis of tissue, cell, and body fluid samples. Idiomatically, "a pathology" may also refer to the predicted or actual progression of particular diseases, and the affix path is sometimes used to indicate a state of disease in cases of both physical ailment and psychological conditions. A physician practicing pathology is called a pathologist.

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History of medical specialization

To a certain extent, medical practitioners have long been specialized. According to Galen, specialization was common among Roman physicians. The particular system of modern medical specialties evolved gradually during the 19th century. Informal social recognition of medical specialization evolved before the formal legal system. The particular subdivision of the practice of medicine into various specialties varies from country to country, and is somewhat arbitrary. [2]

Galen Roman physician, surgeon and philosopher

Aelius Galenus or Claudius Galenus, often Anglicized as Galen and better known as Galen of Pergamon, was a Greek physician, surgeon and philosopher in the Roman Empire. Arguably the most accomplished of all medical researchers of antiquity, Galen influenced the development of various scientific disciplines, including anatomy, physiology, pathology, pharmacology, and neurology, as well as philosophy and logic.

Classification of medical specialization

Medical specialties can be classified along several axes. These are:

Throughout history, the most important has been the division into surgical and internal medicine specialties. The surgical specialties are those in which an important part of diagnosis and treatment is achieved through major surgical techniques. The internal medicine specialties are the specialties in which the main diagnosis and treatment is never major surgery. In some countries, anesthesiology is classified as a surgical discipline, since it is vital in the surgical process, though anesthesiologists never perform major surgery themselves.

Anesthesiology medical speciality that focuses on anesthesia and perioperative medicine

Anesthesiology, anaesthesiology, anaesthesia or anaesthetics is the medical speciality concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. A physician specialised in this field of medicine is called an anesthesiologist, anaesthesiologist or anaesthetist, depending on the country.

Many specialties are organ-based. Many symptoms and diseases come from a particular organ. Others are based mainly around a set of techniques, such as radiology, which was originally based around X-rays.

Radiology specialty that uses medical imaging to diagnose and treat diseases seen within the body

Radiology is the medical specialty that uses medical imaging to diagnose and treat diseases within the human body.

X-ray form of electromagnetic radiation

X-rays make up X-radiation, a form of electromagnetic radiation. Most X-rays have a wavelength ranging from 0.01 to 10 nanometers, corresponding to frequencies in the range 30 petahertz to 30 exahertz (3×1016 Hz to 3×1019 Hz) and energies in the range 100 eV to 100 keV. X-ray wavelengths are shorter than those of UV rays and typically longer than those of gamma rays. In many languages, X-radiation is referred to with terms meaning Röntgen radiation, after the German scientist Wilhelm Röntgen who discovered these on November 8, 1895, who usually is credited as its discoverer, and who named it X-radiation to signify an unknown type of radiation. Spelling of X-ray(s) in the English language includes the variants x-ray(s), xray(s), and X ray(s).

The age range of patients seen by any given specialist can be quite variable. Paediatricians handle most complaints and diseases in children that do not require surgery, and there are several subspecialties (formally or informally) in paediatrics that mimic the organ-based specialties in adults. Paediatric surgery may or may not be a separate specialty that handles some kinds of surgical complaints in children.

A further subdivision is the diagnostic versus therapeutic specialties. While the diagnostic process is of great importance in all specialties, some specialists perform mainly or only diagnostic examinations, such as pathology, clinical neurophysiology, and radiology. This line is becoming somewhat blurred with interventional radiology, an evolving field that uses image expertise to perform minimally invasive procedures.

Clinical neurophysiology is a medical specialty that studies the central and peripheral nervous systems through the recording of bioelectrical activity, whether spontaneous or stimulated. It encompasses both research regarding the pathophysiology along with clinical methods used to diagnose diseases involving both central and peripheral nervous systems. Examinations in the clinical neurophysiology field are not limited to tests conducted in a laboratory. It is thought of as an extension of a neurologic consultation. Tests that are conducted are concerned with measuring the electrical functions of the brain, spinal cord, and nerves in the limbs and muscles. It can give the precise definition of site, the type and degree of the lesion, along with revealing the abnormalities that are in question. Due to these abilities, clinical neurophysiology is used to mainly help diagnose diseases rather than treat them.

Interventional radiology medical specialty which provides minimally invasive image-guided diagnosis and treatment of disease

Interventional radiology (IR), is a radiology specialty which provides minimally invasive image-guided diagnosis and treatment of disease. Although the range of procedures performed by interventional radiologists is broad, the unifying concept behind these procedures is the application of image guidance and minimally invasive techniques in order to minimize risk to the patient.

Specialties that are common worldwide

SpecialtyMay be subspecialty ofDiagnostic (D) or therapeutic (T) specialtySurgical (S) or internal medicine specialty (I)Age range of patientsOrgan-based (O) or technique-based (T)
Allergy and immunology Internal medicine
Pediatrics
BothIAllO
Adolescent medicine PediatricsBothIPediatricT
Anesthesiology Family MedicineTBothAllBoth
Aerospace medicine Family MedicineBothNeitherAllBoth
Cardiology Internal medicineTIAdultsO
Cardiothoracic surgery General surgeryTSAdultsO
Child and adolescent psychiatryPsychiatryTIPaediatricT
Clinical neurophysiology NeurologyDIAllBoth
Colorectal surgery General SurgeryBothSAllO
Dermatology NoneTIAllO
Developmental pediatricsPediatricsTIPediatricNeither
Emergency medicine Family MedicineBothBothAllBoth
Endocrinology Internal medicineTIAdultsO
Family Medicine NoneBothBothAllMultidisciplinary
Forensic pathology PathologyDNeitherAllT
Forensic psychiatry PsychiatrySIAllT
Gastroenterology Internal medicineTIAdultsO
General surgery NoneTSAdultsT
General surgical oncologyGeneral surgeryTSAdultsT
Geriatrics Family medicine
Internal medicine
TIGeriatricMultidisciplinary
Geriatric psychiatry Geriatrics
Psychiatry
TIGeriatricNeither
Gynecologic oncology Obstetrics and gynecologyTSAllO
Hematology Internal medicineDIAdultsNeither
Hematologic pathologyHematology
Pathology
DNeitherAllT
Infectious disease Internal medicine
Pediatrics
BothIAllNeither
Internal medicine NoneTIAdultsNeither
Interventional radiology RadiologyBothUnknownAllMultidisciplinary
Intensive care medicine Anesthesiology
Emergency medicine
Internal medicine
TBothAllBoth
Maternal-fetal medicine Obstetrics and gynecologyTSAdultsBoth
Medical biochemistry Internal medicineDIAllNeither
Medical genetics NoneDIAllNeither
Medical oncology Internal medicineDIAdultsNeither
Neonatology PediatricsTINeonatalNeither
Nephrology Internal medicineTIAllO
Neurology Internal medicineTIAllO
Neuropathology PathologyDNeitherAllT
Neurosurgery NoneTSAllO
Nuclear medicine NoneBothIAllT
Obstetrics and gynecology Family medicineTSAllO
Occupational medicine Family medicine
Internal medicine
TIAdultsMultidisciplinary
Ophthalmology NoneTSAllO
Orthopedic surgery NoneTSAllO
Oral and maxillofacial surgery NoneTSAllO
Otorhinolaryngology NoneTSAllO
Palliative care Family Medicine
Internal medicine
Pediatrics
BothNeitherAllNeither
Pathology NoneDNeitherAllT
Pediatrics NoneTIPediatricNeither
Pediatric allergy and immunologyPediatricsTIPediatricO
Pediatric cardiologyPediatricsTIPediatricO
Pediatric emergency medicine PediatricsBothBothPediatricBoth
Pediatric endocrinologyPediatricsTIPediatricO
Pediatric gastroenterologyPediatricsTIPediatricO
Pediatric hematology and oncologyPediatricsTIPediatricO
Pediatric infectious diseasePediatricsTIPediatricO
Pediatric nephrologyPediatricsTIPediatricO
Pediatric respiratory medicinePediatricsSIPediatricO
Pediatric rheumatologyPediatricsTIPediatricO
Pediatric surgery General surgeryTSPediatricO
Physical medicine and rehabilitation NoneTIAllMultidisciplinary
Plastic, reconstructive and aesthetic surgery General surgeryTSAllO
Psychiatry Family medicineSIAllT
Public health Family medicineNeitherNeitherAllT
Radiation oncology NoneTNeitherAllT
Radiology NoneBothIAllT
Reproductive endocrinology and infertilityObstetrics and gynecologyTSAdultsT
Respiratory medicine Internal medicineTIAdultsO
Rheumatology Internal medicineTIAdultsNeither
Sports medicine Family medicineBothNeitherAllMultidisciplinary
Thoracic surgeryGeneral surgeryTSAdultsT
Neuroradiology RadiologyBothIAllBoth
Urology NoneTSAllO
Vascular surgery General surgeryTSAllO

List of specialties recognized in the European Union and European Economic Area

The European Union publishes a list of specialties recognized in the European Union, and by extension, the European Economic Area. [3] Note that there is substantial overlap between some of the specialties and it is likely that for example "Clinical radiology" and "Radiology" refer to a large degree to the same pattern of practice across Europe.

List of North American medical specialties and others

In this table, as in many healthcare arenas, medical specialties are organized into the following groups:

SpecialtyCodeGroupSub-specialtiesFocus
Allergy and immunology Allergic reactions, asthma, and the immune system
Anesthesiology AN, PANSurgery [4] [ citation needed ] Anesthesia
Cardiology Medicine Disease of the cardiovascular system
Cardiovascular surgery Surgery The operation of heart and major blood vessels of the chest.
Clinical laboratory sciencesDiagnosticApplication of diagnostic techniques in medical laboratories such as assays, microscope analysis.
Dermatology D, DSMedicineDermatology, Mohs surgery Skin and its appendages (hair, nails, sweat glands etc.).
Dietetics RD [5] Food and nutrition
Emergency medicine EMMedicine
  • Disaster medicine
  • Emergency medical services
  • Hospice and palliative medicine
  • International Emergency Medicine and Global Health
  • Medical toxicology
  • Pediatric emergency medicine
  • Research
  • Simulation
  • Sports medicine
  • Toxicology
  • Ultrasound
  • Undersea and hyperbaric medicine
  • Wilderness medicine
The initial management of emergent medical conditions, often in hospital emergency departments or the field.
Endocrinology MedicineThe endocrine system (i.e., endocrine glands and hormones) and its diseases, including diabetes and thyroid diseases.
Family medicine FMMedicine
  • Addiction medicine
  • Adolescent medicine
  • Anesthesia
  • Emergency medicine
  • Care of the elderly (geriatric medicine)
  • Clinical environmental health
  • Global health
  • HIV care
  • Hospital medicine
  • Indigenous health
  • Low-risk obstetrics
  • Medical education
  • Medical oncology
  • Medical simulation
  • Pain medicine
  • Palliative care
  • Point of Care Ultrasound (POCUS)
  • Research
  • Sleep medicine
  • Sports and exercise medicine
  • Women's health
Continuing, comprehensive healthcare for the individual and family, integrating the biological, clinical and behavioral sciences to treat patients of all ages, sexes, organ systems, and diseases.
Forensic medicine Medicine
Gastroenterology GIMedicineThe alimentary tract
General surgery GSSurgery
  • Colorectal surgery
  • Gastrointestinal surgery
  • Transplant surgery
  • Trauma surgery
Geriatrics IMGMedicine [4] [ citation needed ]Elderly patients
Gynecology Female reproductive health
Hepatology MedicineThe liver and biliary tract, usually a part of gastroenterology.
Hospital medicine Medicine
Infectious disease IDMedicineDiseases caused by biological agents
Intensive care medicine Medicine Life support and management of critically ill patients, often in an ICU.
Internal Medicine Medicine
Medical research Anatomy, Biochemistry, Embryology, Genetics, Pharmacology, Toxicology Care of hospitalized patients
Nephrology MedicineKidney diseases
Neurology NMedicineDiseases involving the central, peripheral, and autonomic nervous systems
Neurosurgery NSSurgeryDisease of the central nervous system, peripheral nervous system, and spinal column.
Obstetrics and gynecology OB/GYNSurgery [4] [ citation needed ]
Oncology ONMedicine Cancer and other malignant diseases, often grouped with hematology.
Ophthalmology OPHSurgeryRetina, CorneaDiseases of the visual pathways, including the eyes, brain, etc.
Oral and maxillofacial surgery Maxfacs, OMSSurgery
  • Oral and Craniofacial surgery (Head and neck)
  • Facial cosmetic surgery
  • Craniomaxillofacial trauma
Disease of the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region.
Orthopedic surgery ORSSurgery Hand surgery, surgical sports medicine, adult reconstruction, spine surgery, foot and ankle, musculoskeletal oncology, orthopedic trauma surgery, pediatric orthopedic surgeryInjury and disease of the musculoskeletal system.
Otorhinolaryngology, or ENTORL, ENTSurgeryHead and neck, facial cosmetic surgery, Neurotology, LaryngologyTreatment of ear, nose, and throat disorders. The term head and neck surgery defines a closely related specialty that is concerned mainly with the surgical management of cancer of the same anatomical structures.
Palliative care PLMMedicineA relatively modern branch of clinical medicine that deals with pain and symptom relief and emotional support in patients with terminal illnesses including cancer and heart failure.
Pathology PTHDiagnosticUnderstanding disease through examination of molecules, cells, tissues and organs. The term encompasses both the medical specialty that uses tissues and body fluids to obtain clinically useful information and the related scientific study of disease processes.
Pediatrics PDMedicineChildren. Like internal medicine, pediatrics has many sub-specialties for specific age ranges, organ systems, disease classes, and sites of care delivery. Most sub-specialties of adult medicine have a pediatric equivalent such as pediatric cardiology, pediatric emergency medicine, pediatric endocrinology, pediatric gastroenterology, pediatric hematology, pediatric oncology, pediatric ophthalmology, and neonatology.deals with the medical care of infants, children, and adolescents (from newborn to age 16-21, depending on the country).
Pediatric surgery SurgeryTreats a wide variety of thoracic and abdominal (and sometimes urologic) diseases of childhood.
Physical medicine and rehabilitation Or PhysiatryPM&RMedicine
  • Cancer Rehabilitation
  • Pain Management
  • Traumatic Brain Injury
  • Spinal Cord Injury
  • Sports Medicine
  • Pediatrics
  • Hospice & Palliative Medicine
Concerned with functional improvement after injury, illness, or congenital disorders.
Plastic surgery PSSurgery
  • Cosmetic surgery
  • Burn
  • Microsurgery
  • Hand surgery
  • Craniofacial surgery
Elective cosmetic surgery as well as reconstructive surgery after traumatic or operative mutilation.
Podiatry PODSurgery
  • Forefoot surgery
  • Midfoot surgery
  • Rearfoot surgery
  • Ankle surgery
  • Soft tissue leg surgery
Elective podiatric surgery of the foot and ankle, lower limb diabetic wound and salvation, peripheral vascular disease limb preservation, lower limb mononeuropathy conditions. Reconstructive foot & ankle surgery.
Proctology PROMedicine(or Colorectal Surgery) Treats disease in the rectum, anus, and colon.
Psychiatry PMedicineThe bio-psycho-social study of the etiology, diagnosis, treatment and prevention of cognitive, perceptual, emotional and behavioral disorders. Related non-medical fields include psychotherapy and clinical psychology.
Pulmonology MedicineThe lungs and respiratory system. Pulmonology is generally considered a branch of internal medicine, although it is closely related to intensive care medicine when dealing with patients requiring mechanical ventilation.
Public Health Public health focuses on the health of populations. Physicians employed in this field work in policy, research or health promotion, taking a broad view of health that encompasses the social determinants of health.
Radiology R, DRDiagnostic and Therapeutic
  • Interventional radiology is concerned with using expert imaging of the human body, usually via CT, ultrasound, fluoroscopy, or MRI to perform a breadth of intravascular procedures (angioplasty, arterial stenting, thrombolysis, uterine fibroid embolization), biopsies and minimally invasive oncologic procedures (radiofrequency and cryoablation of tumors & transarterial chemoembolization)
  • Nuclear medicine uses radioactive substances for in vivo and in vitro diagnosis either using imaging of the location of radioactive substances placed into a patient or using in vitro diagnostic tests utilizing radioactive substances.
The use of expertise in radiation in the context of medical imaging for diagnosis or image guided minimally invasive therapy. X-rays, etc.
Rheumatology RHUMedicine Autoimmune and inflammatory diseases of the joints and other organ systems, such as arthritis and other rheumatic diseases.
Surgical oncology SOSurgeryCurative and palliative surgical approaches to cancer treatment.
Thoracic surgery TSSurgerySurgery of the organs of the thoracic cavity: the heart, lungs, and great vessels.
Transplant surgery TTSSurgeryTransplantation of organs from one body to another
Urgent Care Medicine UCMMedicineImmediate medical care offering outpatient care for the treatment of acute and chronic illness and injury
Urology USurgery Urinary tracts of males and females, and the male reproductive system. It is often practiced together with andrology ("men's health").
Vascular surgery VSSurgeryThe peripheral blood vessels – those outside the chest (usually operated on by cardiovascular surgeons) and outside the central nervous system (treated by neurosurgery)

Salaries

The mean annual salary of a medical specialist in the US in 2006 was $175,011 [6] and $272,000 for surgeons. [6]

The table below details the average range of salaries for physicians in the US of selected specialties as of July 2010. Also given in the average number of hours worked per week for full-time physicians (2003 data).

SpecialtyMedian salary (USD) [7] Average hours

work/week [8]

Average salary/hour (USD) [9]
Anaesthesia 331,000 to $423,50761
Dermatology 313,100 to $480,08845.5103
Emergency medicine 239,000 to $316,2964687
Cardiac Surgery 218,684 to $500,00055
Family medicine 175,000 to $220,19652.558
Internal medicine 184,200 to $231,6915758
Neurology 213,000 to $301,32755.593
Obstetrics and Gynecology 251,500 to $326,9246183
Ophthalmology 150,000 to $351,00047
Orthopedic surgery 397,879 to $600,00058
Otolaryngology 191,000 to $393,00053.5
Oral and Maxillofacial Surgery 260,000 to $440,21053
Pediatrics 160,111 to $228,7505469
Podiatry 170,800 to $315,1504580
Psychiatry 173,800 to $248,1984872
Radiology (diagnostic)377,300 to $478,00058
Surgery (general)284,642 to $383,33360
Urology 331,192 to $443,51860.5
Neurosurgery 350,000 to $705,000132
Plastic surgery 265,000 to $500,000114
Gastroenterology 251,026 to $396,45093
Pulmonology 165,000 to $365,87572

Specialties by country

Australia and New Zealand

Specialty training in Australia and New Zealand is overseen by the specialty colleges:

Canada

Specialty training in Canada is overseen by the Royal College of Physicians and Surgeons of Canada and the College of Family Physicians of Canada. For specialists working in the province of Quebec, the Collège des médecins du Québec also oversees the process.

Germany

In Germany these doctors use the term Facharzt.

India

Specialty training in India is overseen by the Medical Council of India, which is responsible for recognition of post graduate training and by the National Board of Examinations. And education of Ayurveda in overseen by Central Council of Indian Medicine (CCIM), the council conducts u.g and p.g courses all over India, while Central Council of Homoeopathy does the same in the field of Homeopathy.

Sweden

In Sweden, a medical license is required before commencing specialty training. Those graduating from Swedish medical schools are first required to do a rotational internship of about 1.5 to 2 years in various specialties before attaining a medical license. The specialist training lasts 5 years. [10]

United States

There are three agencies or organizations in the United States that collectively oversee physician board certification of MD and DO physicians in the United States in the 26 approved medical specialties recognized in the country. These organizations are the American Board of Medical Specialties (ABMS) and the American Medical Association (AMA); the American Osteopathic Association Bureau of Osteopathic Specialists (AOABOS) and the American Osteopathic Association; the American Board of Physician Specialties (ABPS) and the American Association of Physician Specialists (AAPS). Each of these agencies and their associated national medical organization functions as its various specialty academies, colleges and societies.

Certifying boardNational organizationPhysician type
ABMSAMAMD and DO
AOABOSAOADO only
ABPSAAPSMD and DO

All boards of certification now require that medical practitioners demonstrate, by examination, continuing mastery of the core knowledge and skills for a chosen specialty. Recertification varies by particular specialty between every seven and every ten years.

In the United States there are hierarchies of medical specialties in the cities of a region. Small towns and cities have primary care, middle sized cities offer secondary care, and metropolitan cities have tertiary care. Income, size of population, population demographics, distance to the doctor, all influence the numbers and kinds of specialists and physicians located in a city. [11]

Demography

A population's income level determines whether sufficient physicians can practice in an area and whether public subsidy is needed to maintain the health of the population. Developing countries and poor areas usually have shortages of physicians and specialties, and those in practice usually locate in larger cities. For some underlying theory regarding physician location, see central place theory. [11]

The proportion of men and women in different medical specialties varies greatly. Such sex segregation is largely due to differential application. [12]

Satisfaction and burnout

A survey of physicians in the United States came to the result that dermatologists are most satisfied with their choice of specialty followed by radiologists, oncologists, plastic surgeons, and gastroenterologists. [13] In contrast, primary care physicians were the least satisfied, followed by nephrologists, obstetricians/gynecologists, and pulmonologists. [13] Surveys have also revealed high levels of depression among medical students (25 - 30%) as well as among physicians in training (22 - 43%), which for many specialties, continue into regular practice. [14] [15] A UK survey conducted of cancer-related specialties in 1994 and 2002 found higher job satisfaction in those specialties with more patient contact. Rates of burnout also varied by specialty. [16]

See also

Related Research Articles

General surgery medical specialty

General surgery is a surgical specialty that focuses on abdominal contents including esophagus, stomach, small bowel, colon, liver, pancreas, gallbladder, appendix and bile ducts, and often the thyroid gland. They also deal with diseases involving the skin, breast, soft tissue, trauma, peripheral vascular surgery and hernias and perform endoscopic procedures such as gastroscopy and colonoscopy.

Nephrology medical specialty

Nephrology is a specialty of medicine and pediatrics that concerns itself with the kidneys: the study of normal kidney function and kidney disease, the preservation of kidney health, and the treatment of kidney disease, from diet and medication to renal replacement therapy.

Emergency medicine medical specialty concerned with care for patients who require immediate medical attention

Emergency medicine, also known as accident and emergency medicine, is the medical specialty concerned with the care of illnesses or injuries requiring immediate medical attention. Emergency physicians care for unscheduled and undifferentiated patients of all ages. As first-line providers, their primary responsibility is to initiate resuscitation and stabilization and to start investigations and interventions to diagnose and treat illnesses in the acute phase. Emergency physicians generally practice in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units, but may also work in primary care settings such as urgent care clinics. Sub-specializations of emergency medicine include disaster medicine, medical toxicology, ultrasonography, critical care medicine, hyperbaric medicine, sports medicine, palliative care, or aerospace medicine.

General practitioner type of medical doctor specialising as a generalist, usually working in primary care setting

In the medical profession, a general practitioner (GP) is a medical doctor who treats acute and chronic illnesses and provides preventive care and health education to patients.

Internal medicine or general medicine is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. Physicians specializing in internal medicine are called internists, or physicians in Commonwealth nations. Internists are skilled in the management of patients who have undifferentiated or multi-system disease processes. Internists care for hospitalized and ambulatory patients and may play a major role in teaching and research.

A radiation oncologist is a specialist physician who uses ionizing radiation in the treatment of cancer. Radiation oncology is one of the three primary specialties, the other two being surgical and medical oncology, involved in the treatment of cancer. Radiation can be given as a curative modality, either alone or in combination with surgery and/or chemotherapy. It may also be used palliatively, to relieve symptoms in patients with incurable cancers. A radiation oncologist may also use radiation to treat some benign diseases, including benign tumors. In some countries, radiotherapy and chemotherapy are controlled by a single oncologist who is a "clinical oncologist". Radiation oncologists work closely with other physicians such as surgical oncologists, interventional radiologists, internal medicine subspecialists, and medical oncologists, as well as medical physicists and technicians as part of the multi-disciplinary cancer team.. Radiation oncologists undergo four years of oncology specific training whereas oncologists who deliver chemotherapy have two years of additional training in cancer care during fellowship after internal medicine residency in the United States.

A podiatrist, also known as a podiatric physician or foot and ankle surgeon, is a medical professional devoted to the study and medical/surgical treatment of disorders of the foot, ankle and lower extremity. The term originated in North America, but has now become the accepted term in the English-speaking world for all practitioners of podiatric medicine.

Podiatry branch of medicine devoted to the study of, diagnosis, and medical treatment of disorders of the foot, ankle, and lower extremity

Podiatry or podiatric medicine is a branch of medicine devoted to the study, diagnosis, and medical and surgical treatment of disorders of the foot, ankle and lower extremity. The term podiatry came into use in the early 20th century in the United States and is now used worldwide, including countries such as the United Kingdom, Australia and Canada.

Residency (medicine) type of early-career medical practitioner

Residency or postgraduate training is a stage of graduate medical education. It refers to a qualified physician, podiatrist, or dentist who practices medicine, usually in a hospital or clinic, under the direct or indirect supervision of a senior clinician registered in that specialty such as an attending physician or consultant. In many jurisdictions, successful completion of such training is a requirement in order to obtain an unrestricted license to practice medicine, and in particular a license to practice a chosen specialty. An individual engaged in such training may be referred to as a resident, house officer, registrar or trainee depending on the jurisdiction. Residency training may be followed by fellowship or sub-specialty training.

The Royal Australian and New Zealand College of Radiologists (RANZCR) is the leading professional organisation for the promotion of the science and practice of the medical specialties of clinical radiology and radiation oncology in Australia and New Zealand. The College has members throughout the world. RANZCR provides the educational curricula for medical graduates training to enter the specialties.

There are a number of professional degrees in dentistry offered by dental schools in various countries around the world.

A veterinary specialist is a veterinarian who specializes in a clinical field of veterinary medicine.

Medical education in Australia

Medical education in Australia includes the educational activities involved in the initial and ongoing training of Medical Practitioners. In Australia, medical education begins in Medical School; upon graduation it is followed by a period of pre-vocational training including Internship and Residency; thereafter, enrolment into a specialist-vocational training program as a Registrar eventually leads to fellowship qualification and recognition as a fully qualified Specialist Medical Practitioner. Medical education in Australia is facilitated by Medical Schools and the Medical Specialty Colleges, and is regulated by the Australian Medical Council (AMC) and Australian Health Practitioners Regulatory Agency (AHPRA) of which includes the Medical Board of Australia where medical practitioners are registered nationally.

Oral medicine is a specialty focused on the mouth and nearby structures. It lies at the interface between medicine and dentistry.

Fellow of the Royal Australasian College of Physicians, abbreviated as the post-nominal initials FRACP, is a recognition of the completion of the prescribed postgraduate specialist training programme in internal adult or internal paediatric medicine of the Royal Australasian College of Physicians.

In some Commonwealth countries and Ireland, a medical royal college is a professional body in the form of a Royal College responsible for development of and training in one or more medical specialities.

Anaesthesia, Trauma and Critical Care (ATACC) is an international trauma and anaesthesia organisation.

In the United States and Canada, there are ten recognized dental specialties in which some dentists choose to train and practice, in addition to or instead of general dentistry. In the United Kingdom and Australia, there are thirteen.

References

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  3. "Directive 2005/36/EC of the European Parliament and of the Council of 7 September 2005 on the recognition of professional qualifications". European Parliament and Council. Retrieved 19 April 2011.
  4. 1 2 3 Regeringen.se – new grouping of the medical specialties Archived April 10, 2008, at the Wayback Machine
  5. "Becoming a Registered Dietitian". Department of Food Science and Human Nutrition. University of Illinois at Urbana-Champaign. Retrieved 21 April 2016.
  6. 1 2 ibmdllc.com -Physician income not rising as fast as other professional pay Archived April 10, 2008, at the Wayback Machine
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  8. Physician work hours (2003) Medfriends.org. Accessed 15 December 2010.
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  12. Error: Bad DOI specified!
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