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The Affidavit of Merit and Medical Economics It is not uncommon to find a physician with one or more subspecialty doing work in one of them or none of them. Many physicians are being tasked, incentivized and sometimes required, to sub-specialize, since sub-specialists earn more than generalists, and those performing procedures earn more money than those who do not. When it comes time to review the appropriateness of an AOM, each subspecialty suddenly becomes important though it may be irrelevant. By Jordan S. Goldsmith and Lee S. Goldsmith