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Advanced Achievement in Internal Medicine: "The Last Gasp of Voluntarism"?

Ann Intern Med. 1986;105(1):132-133. doi:10.7326/0003-4819-105-1-132_2
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How to maintain clinical competence is a central concern of every practicing internist. In a time of rapidly expanding medical information and newer management strategies, it is only too easy to lag behind in one or more areas, thereby compromising one's ability to provide excellent care. Generalists, subspecialists, full-time practitioners, academicians—and most importantly, our patients—will benefit from a program that tests objectively our knowledge base and clinical judgment and identifies areas in need of revitalization.

For more than a decade the American Board of Internal Medicine (ABIM) has directed its attention beyond initial certification. In 1974 the Board offered its


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