Since the early 1900s, medical specialization was viewed as progress, with the assumption that specialists would improve care and outcomes. One consequence, however, was strained relationships between specialists and generalists, with critics arguing that specialty societies fragmented medicine and weakened organizations such as the AMA.

After a century of specialization and hyperspecialization, I believe medicine has come full circle. Quality is improved by specialized knowledge, but no one person can hold all responsibility. It must be shared by a group that values differences, serves patients, advances research, and recognizes the generalist’s cohesive role. This is the multispecialty strength of SMA.