The 'specialty' cannot be updated on the Medscape App ; this can only be done via your online www.medscape.com profile. To update your specialty, please refer to Changing specialty homepage
Via App, however, you may update the 'Content Preference' you are interested in reading in your settings. Please keep in mind that this selection will only be saved locally. Meaning, if you uninstall or sign out of the App, the content preference will revert to the original content selected on your Medscape.com profile.