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Published on: August 8, 2010
Board certification in internal medicine and cardiology: Historical success and future challenges
Richard J Baron1, Harlan M Krumholz2, Mariell Jessup3
1American Board of Internal Medicine, Philadelphia, PA.
Insights
Board certification and Maintenance of Certification (MOC) face scrutiny. This article reviews the history of the American Board of Internal Medicine (ABIM), its challenges, and future directions for physician self-regulation.
Area of Science:
- Medical Education
- Professional Regulation
- Cardiology
Background:
- Physician board certification and Maintenance of Certification (MOC) are under increasing public and professional scrutiny.
- Current pressures necessitate a re-evaluation of the purpose and evolution of board certification.
- Understanding the history of board certification is crucial for its future development.
Purpose of the Study:
- To reflect on the historical evolution of the American Board of Internal Medicine (ABIM).
- To examine the specific history of ABIM in Cardiology.
- To identify current challenges and future directions for ABIM.
Main Methods:
- Historical review of board certification.
- Analysis of the American Board of Internal Medicine (ABIM) and its role in Cardiology.
- Discussion of contemporary challenges and proposed innovations.
Main Results:
- Board certification has a rich history as a form of professional self-regulation.
- The ABIM, particularly in Cardiology, has faced evolving challenges.
- There is a recognized need for continuous improvement and adaptation in MOC.
Conclusions:
- Board certification must continue to evolve to meet the needs of both physicians and the public.
- The ABIM is actively considering new directions to address current challenges.
- Physician-led standards are essential for maintaining the integrity of medical specialties.
Abstract:
Board certification is at a critical juncture. As physicians face increased regulation and pressures from both inside and outside the profession, board certification and Maintenance of Certification (MOC) are coming under increased scrutiny from the public and the medical community. At this challenging time, it is important to remind ourselves what board certification is (and what it is not) and revisit the origins of this tangible expression of professional self-regulation, even as we contemplate how it needs to improve. Board certification has evolved over time and must continue to evolve; it is our collective responsibility as physicians that peer-developed standards meet the needs of both the profession and the public. In this article, we will reflect on the history of the American Board of Internal Medicine (ABIM), especially which related to Cardiology, and describe some of ABIM׳s challenges and new directions.
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