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A "consumer revolution" is upon us. In virtually every area of commerce and service, the buyer is no longer willing to "beware" of the product; he now demands that the producer give him a safe and effective product. Automobiles, for example, have been added to the public's "close-scrutiny" list that once included only food and drugs. And when the President's Advisory Commission on Health Manpower warned, more than a year ago, that a "quality gap" exists between optimal and medical care and that which is currently offered to the public, one could hear the rumblings of a "patient" revolution reaching into the domain of the physician.
What this portends is difficult to say. Mandatory periodic relicensure or recertification is clearly a possibility if medicine does not move, and move quickly, to demonstrate that practitioners can be and are being continuously brought up to date in their knowledge and
Carmichael HT. Continuing Education for Psychiatrists. Arch Gen Psychiatry. 1969;20(6):617. doi:10.1001/archpsyc.1969.01740180001001
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