TY - JOUR T1 - PHysician quality and maintenance of certification AU - Frager M, Scherz H, Eck A Y1 - 2012/12/26 N1 - 10.1001/jama.2012.131778 JO - JAMA SP - 2562 EP - 2563 VL - 308 IS - 24 N2 - Certification was developed to prove that a physician had become knowledgeable in a specialty. Voluntary recertification began in 1974; but what began as a reasonable way to keep up with advances in medicine has turned into a costly, mandatory process. Forcing physicians to retake tests every few years requires expense and time off work for test preparation. In our opinion, a flexible approach with self-directed continuing medical education and voluntary self-assessment products would be less time-consuming, less expensive, and more effective than MOC. Additionally, taking a test without access to tools physicians use daily, such as smart phones and computers, seems not to reflect the actual practice of medicine. SN - 0098-7484 M3 - doi: 10.1001/jama.2012.131778 UR - http://dx.doi.org/10.1001/jama.2012.131778 ER -