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The Annals of Thoracic Surgery, Vol 24, 6-18, Copyright © 1977 by The Society of Thoracic Surgeons
TB Ferguson
The American specialty board system is viewed in the historical perspective
of a quest for quality assessment of surgical trainees. Beginning with the
American Board for Ophthalmic Examinations in 1916, a system of 22 boards
has developed which, by their training requirements and examinations,
essentially dictate the length and content of all postgraduate educational
programs. The time has come for the boards, as a powerful force in
postgraduate education and in organized medicine, to reassess their
position and to be sensitive to the responsibilities they have for the
future. The events of history suggest six changes that might be profitable.
(1) Recognize their purpose to be broader than the administration of
certifying examinations. (2) Recognize that the certificate is now a
license, and deal squarely with this issue. (3) Initiate and support needed
medical reforms while the private sector can still do so. (4) Assume a
leadership role in the shaping and future direction of graduate medical
education. (5) Relinquish a degree of autonomy in order to strengthen the
American Board of Medical Specialties. (6) Define their place in the
medical scene and reorganize their board structures accordingly. The
primary responsibility of the boards should be to make certain all aspects
of resident training in approved programs are sound. Long-range goals
should be the elimination of the certifying examination, and public
recognition and approval of specialty status attainment.
ARTICLES
Guilds, boards, and hobgoblins
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