Maintenance of certification in internal medicine--realities: in an 'uninvited commentary' to the Levinson and Holmboe article.

摘要

Although certification and recertification were originally designed to ensure quality in patient care, they have evolved into a discriminatory, money-making juggernaut with marketing to hospitals, insurers, and licensing boards, and-without any reasonable proof of efficacy-are slowly being tied to the right to practice medicine.