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Perspective
Volume 353:1989-1992 November 10, 2005 Number 19
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Recertification for Internists — One "Grandfather's" Experience
Troyen A. Brennan, M.D., J.D., M.P.H.

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 by Steinbrook, R.
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Practicing internal medicine can be isolating: lacking the clear-cut outcomes of one-time interventions like surgery, internists work from day to day essentially without signposts indicating success or failure. Without performance data, not only do I, as an internist, have little sense of where I stand, but the clinical leader of my practice group knows little about my fund of knowledge. She has some key evidence with regard to the group's younger doctors, for they are being recertified. If they fail their board examination, it probably indicates some deficiency. But most members of our practice, having become certified before 1990, are . . . [Full Text of this Article]


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Dr. Brennan is a professor of medicine at Brigham and Women's Hospital and Harvard Medical School, Boston.

An interview with F. Daniel Duffy from the American Board of Internal Medicine can be heard at www.nejm.org.


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