Dr. Swift's adventurous travail with the American Board of Psychiatry and Neurology provides a helpful basis for the Board to provide a Baedeker to its function and role.
If indeed the Board's diploma "has become a major determinant of academic rank, hospital priviledge [sic], and salary," then the administrative deficiency must reside in those institutions that are unable or unwilling to develop their own standards. To be sure, the American Board system is one way in which clinical competence of specialists is identified, but the Board of Psychiatry and Neurology does not hold that its examination is the only way in which this identity should be established. On the contrary, it has on several occasions urged that other forms of identification be established and has offered its assistance. One such system might well be through universities that grant advanced degrees or other certificates. Some governmental agencies have already devised