Your default Medscape homepage is based on the specialty listed in your profile under Content Preference.
If you would like to change your default specialty homepage, log in to Medscape and update your profile settings as follows:
Go to My Account (look for the settings/gear icon in the upper right corner of the page, next to your name) and select Professional/Contact Information.
On the left side of the page, you should see different sections of your member profile.
Select Content Preference and then select the specialty of your choice.
Make sure to click Update at the bottom of the page to save your changes.