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The dissatisfaction with the Maintenance of Certification (MOC) program through the American Board of Medical Specialties is near-universal, except for the rare “academic.”

I find a particular article extremely depressing: A nomogram to predict the probability of passing the American Board of Internal Medicine examination – Med Educ Online. 2012; 17: 10.3402/meo.v17i0.18810. Published online 2012 Oct 16.

It is filled with the soullessness of modern post-rational medicine.

The major correlating factor is performance on three previous multiple-choice tests, with a positive correlation.  Are people assembling information about medicine progressively, or merely being selected for their ability to complete multiple choice tests?

More troubling, there is a NEGATIVE correlation with ABIM passing rate and the number of rotations in the last six months for which residents take call.  The more on-call, intense rotations – the WORSE the pass rate.

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