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specialism has 4 distinct synonyms spread across 1 of its 2 senses. Each sense below keeps its own list, because a synonym belongs to a meaning and not to a word: swapping one sense's substitute into another sense's sentence is how a thesaurus makes writing worse. WordNet records no antonym for it — antonymy is a relation between word forms rather than concepts, so it is deliberately sparse.
Counts are distinct word forms across every sense. A synonym that appears under three senses is counted once here and shown three times below, under each sense it belongs to.
the concentration of your efforts on a particular field of study or occupation
the special line of work you have adopted as your career
“his specialization is gastroenterology”
Synonyms, antonyms and the broader and narrower relations for specialism come from Princeton University’s WordNet. Full sources and licences.