The American Board of Internal Medicine has been under fire for the excessive testing requirements of physicians and they recently have been seeking clarity for the maintenance of certification process. In my opinion, the answer is to eliminate the examination completely and create a better, ongoing assessment using CME chosen by the physician that meets their needs, especially in a time where medical knowledge changes so rapidly.
Doctors are essentially tested every day, and we are sick and tired of having to take a closed board examination that has never been proven to be meaningful. We are under the microscope more than anyone else, and we know it. It is time that physicians take control of this situation and work toward the abolishment of a secure test where you are treated like a criminal.
Testing centers are a terrible environment and not anything like the real world in which we work. It is exactly this kind of testing that creates the physician who interrupts the patient after 30 seconds. Think of it. You are trained to think of the answer within 2 minutes and move on. That is not good medicine in most cases. Yes, there are times we need to make quick, sound clinical judgment, but it is not because of a few buzz words that are learned to game a test, solutions are derived from factual and clinical data based not only on literature but experience to make a decision.
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