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SPECIAL MILLENNIUM ARTICLE What About the American Medical Accreditation Program? s medicine about to end the millennium by mak- quired to provide separate verification of credentials to ing the same mistake it corrected almost a century 10 or 12 different insurers, MCOs, and hospitals, a costly I ago? and cumbersome experience. Board certification and re- A strange irony will be recorded by medical histo- certification have been used as standards by many orga- rians when they describe physician credentialing of the nizations but have not been accepted uniformly. More- 20th century. It will be noted that as this century began, over, not all disciplines have recertification processes in a chaotic era of the professional tradesman and self- place and operative or ones that are considered ad- proclaimed specialist brought medicine to an inordi- equate. Although their high standards are widely ac- nately low level, a point at which no patient, indeed no knowledged, board certification and recertification pro- institution, could be assured of the knowledge and skills cesses, even the most comprehensive, do not include of specialist physicians. Fortunately, society was saved routine reviews of practice settings, audits of medical rec- by the certifying board movement, which provided a
JAMA Dermatology – American Medical Association
Published: Jan 1, 2000
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