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October 4, 2006

Credentialing, Recertification, and Public Accountability

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2006;296(13):1587-1589. doi:10.1001/jama.296.13.1587-b

To the Editor: The Editorial on credentialing and public accountability by Drs Cassel and Holmboe1 concludes that, as a result of process and criteria changes within the last 5 years, future studies “might show a more rigorous approach to monitoring certification status as well as a more robust data exchange that would allow certification to be even more effective in its ability to identify competence and facilitate quality improvement and excellence in physicians.” However, the comments in the 2 related studies on board certification in pediatrics by Dr Freed and colleagues2,3 make it clear that there is little, if any, evidence to demonstrate superior competency, improved care, or added learning between initially certified physicians who elect to recertify and those who do not.