Norcini J J, Shea J A, Webster G D
J Gen Intern Med. 1986 May-Jun;1(3):166-9. doi: 10.1007/BF02602331.
Perceptions of the certification standards of the American Board of Internal Medicine (ABIM) and the qualities of care provided by certified and non-certified practicing internists are reported from surveys of ABIM Board members, internal medicine program directors, and samples of third-year residents, practicing internists, nurses, and hospital administrators. ABIM pass rates were estimated accurately and viewed as appropriate. Physicians perceived the deficiencies of non-certifiable residents to be in clinical judgment and factual knowledge; non-physicians indicated deficiencies in humanistic qualities. The groups estimated that approximately 70% of all practicing internists and 37% of the non-certified internists they know provide excellent care while 15% of the certified internists give inappropriate care. Perceived deficiencies of internists giving low-quality care were nearly identical to those of non-certifiable residents. The results support ABIM's initial certification process and suggest that a written examination with well chosen standards would be useful for experienced internists.
通过对美国内科医学委员会（ABIM）委员、内科医学项目主任以及三年级住院医师、执业内科医生、护士和医院管理人员样本进行调查，报告了对ABIM认证标准以及认证和未认证执业内科医生所提供护理质量的看法。ABIM通过率估计准确且被认为是合适的。医生认为无法获得认证的住院医师在临床判断和事实知识方面存在不足；非医生则指出在人文素质方面存在不足。这些群体估计，他们认识的所有执业内科医生中约70%以及37%的未认证内科医生提供优质护理，而15%的认证内科医生提供不适当的护理。被认为提供低质量护理的内科医生的不足之处与无法获得认证的住院医师几乎相同。结果支持ABIM的初始认证过程，并表明采用精心挑选标准的书面考试对有经验的内科医生会有用。
