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It is important to note, however, that the last three of the above specialties are not technically general medicine specialties. These specialties are primary care, but NOT general medicine.
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Secondary care
Services provided by medical specialists who generally do not have first contact with patients (e.g., cardiologist, urologists, dermatologists). In the US, however, there has been a trend toward self-referral by patients for these services, rather than referral by primary care providers. This is quite different from the practice in the UK and Canada, for example, where all patients must first seek care from primary care providers and are then referred to secondary and/or tertiary care providers, as needed...
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