THE Goals and Priorities Committee (GAP) of the National Board of Medical Examiners (NBME) has taken a bold and long overdue look at the procedures for evaluation, certification, and licensure in medicine.1,2 The proposals put forth command the attention of every physician and medical educator, for their implementation would have profound effects on patterns of medical education, if not of practice, for years to come. Yet how many readers of The Journal know of the existence of the report, much less its contents? More serious still, how many know that steps have already been taken to facilitate its implementation? This raises serious questions about how and by whom decisions are made to evaluate and to act on proposals the implementation of which are bound to have wide-spread consequences.
An awesome responsibility rests on those involved in the evaluation and implementation of the GAP report. Is this a task to
Engel GL. Revision of the National Board ExaminationsThe Need for Public Study and Debate. JAMA. 1974;228(5):579–580. doi:10.1001/jama.1974.03230300019020