Moore F D, Lang S M
N Engl J Med. 1981 Apr 30;304(18):1078-84. doi: 10.1056/NEJM198104303041805.
Board certification is a universal ambition among graduates of American medical schools. It is a measure of postgraduate achievement and clinical ability that leads to staff appointments, promotions, clinical privileges, increased fees, and reduced malpractice premiums. The number of physicians receiving specialty-board diplomas each year has increased remarkably over the past 15 years. The annual mean for the years of 1976-1978 was 17,381--larger than the graduating medical class four years before. The number of board-certified physicians in medicine, surgery, and the clinical services increased from 106,300 in 1971 to 158,900 in 1978. The percentage of board-certified physicians in these fields has increased from 65 to 78 per cent. Board certification in family practice commenced in 1970 and is still increasing sharply (from 1523 [1970-1972] to 3444 [1976-1978]). The growth of internal medicine and its subjacent specialties is the most spectacular and has been more rapid than that of either surgery or the clinical services, in both which the board-certification rate and number of board-certified practitioners have stabilized since 1973. As board certification becomes a virtually universal criterion that carries the implication of de facto licensing, its social role should be reevaluated.
获得美国医学院校毕业生委员会认证是一种普遍的追求。它是衡量研究生阶段成就和临床能力的标准，能带来员工任命、晋升、临床特权、诊费增加以及医疗事故保险费降低等好处。在过去15年里，每年获得专科委员会文凭的医生数量显著增加。1976年至1978年的年均数量为17381人，比四年前的医学院毕业生人数还多。获得医学、外科及临床服务领域委员会认证的医生数量从1971年的106300人增加到了1978年的158900人。这些领域获得委员会认证的医生比例从65%增至78%。家庭医学专业的委员会认证始于1970年，目前仍在急剧增加（从1970年至1972年的1523人增至1976年至1978年的3444人）。内科及其下属专科的发展最为显著，且发展速度超过了外科或临床服务领域，自1973年以来，这两个领域的委员会认证率和获得认证的从业者数量均已稳定。随着委员会认证几乎成为一项具有事实上的执照发放含义的普遍标准，其社会作用应得到重新评估。
