Many otolaryngologists perceive board certification as passing the written and oral examinations given by the American Board of Otolaryngology (ABOto). The certification process actually begins when a resident enters training. The resident must register with the ABOto so that the board can track his or her progress. Annually, the program director completes a form indicating the progress the resident is making and assuring that the resident receives credit for that year of training. At the residency completion, the program director must then sign the resident's application to take the examination affirming that the resident is medically and professionally qualified.
Medina JE, Miller RH. Maintenance of Certification for American Board of Otolaryngology–Certified Otolaryngologists–Head and Neck Surgeons. Arch Otolaryngol Head Neck Surg. 2007;133(4):318-319. doi:10.1001/archotol.133.4.318