Why It Matters
A general specialty makes you one of hundreds. A precise niche within that specialty — a specific condition, age group, or patient concern — makes you the person people actually remember and refer others to. The decision between staying broad or specializing further is one of the highest-leverage choices a doctor makes early on.
Finding Your Angle
List five possible precise angles within your general specialty. For a dermatologist, that might be: chronic teenage acne, postpartum hair loss, or sun-related skin pigmentation. Rank each by how rare the competition is and how genuinely passionate you are about it, then pick the angle that scores highest on both.
Takeaway
Don't abandon your precise angle the moment you reach the third level of authority — keep deepening it rather than expanding too quickly, since that depth is exactly what carries you to the top of the pyramid.