Practicing internal medicine can be isolating: lacking the clear-cutoutcomes of one-time interventions like surgery, internistswork from day to day essentially without signposts indicatingsuccess or failure. Without performance data, not only do I,as an internist, have little sense of where I stand, but theclinical leader of my practice group knows little about my fundof knowledge. She has some key evidence with regard to the group'syounger doctors, for they are being recertified. If they failtheir board examination, it probably indicates some deficiency.But most members of our practice, having become certified before1990, 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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