Abstract

In this paper, the authors compare certification in psychiatry with certification in eight other medical specialties. They note the high (62%) overall failure rate of those taking the American Board of Psychiatry and Neurology examination. Due to this high failure rate, they feel that psychiatry as a profession is not meeting the challenge to establish a standard of excellence in psychiatric practice. Reasons for the failures are discussed. The authors advocate a clarification of purpose, greater accountability on the part of the board, and accessibility of examination information to Board candidates and residency training programs. They recommend a vital and integrated relationship between training programs and the American Board of Psychiatry and Neurology, Inc.

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