To qualify as a medical specialist, one must usually graduate from a university, then complete approximately four years of medical school, followed by a residency of two to six years in one' s specialty  Finally, a physician who desires to become a recognized specialist must complete an evaluation program directed by a medical specialty board
Ttherefore, anyone who has qualified as a recognized medical specialist is competent to practice in his or her specialty
People who are not highly motivated will not complete the demanding course of study and examination required to become qualified as a recognized medical specialist.