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In Reply: Dr Gloth is incorrect in his claim that there is no evidence to suggest that patients value recertification or that recertification produces better quality of care. A Gallup survey conducted in 2003 showed a high level of recognition of the value of board certification by consumers who understood the difference between board certification and licensure.¹ These consumers also believed that the profession, through the mechanism of board certification, set higher standards than are currently in force for MOC, such as peer and patient evaluation, frequent periodic knowledge examinations, and demonstration of excellence in the conditions that a given physician most commonly treats.

The commitment of all 24 boards of the American Board of Medical Specialties to require periodic recertification that includes performance assessment is a response to the lack of credibility of a once-in-a-career certification process. The evidence that this makes a difference in patient care outcomes derives . . . [Full Text of this Article]

Christine K. Cassel, MD
ccassel@abim.org

Eric S. Holmboe, MD
American Board of Internal Medicine
Philadelphia, Pa

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