The Journal of Bone and Joint Surgery (American). 2009;91:222-226.
doi:10.2106/JBJS.H.01327
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Maintenance of Certification for Orthopaedic Surgeons

Marybeth Ezaki, MD1 and Randall E. Marcus, MD2

1 Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center at Dallas, 2222 Welborn Street, Dallas, TX 75219
2 Department of Orthopaedic Surgery, Case Western Reserve University and University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106-5043. E-mail address: Randall.marcus@uhhospitals.org

The first 150 words of the full text of this article appear below.


   Introduction
 
The American Board of Medical Specialties (ABMS) has declared that each of its member boards must show that the profession sets its standards, monitors its performance, and is improving the practice of patient-centered evidence-based medicine1,2.


   The Evolution of Maintenance of Certification
 
In the early 1990s, a series of highly publicized events increased public concerns regarding the competence of physicians. The medical liability insurance crisis further eroded public trust in our health-care system. In 2000, the Institute of Medicine published a book, To Err Is Human: Building a Safer Health Care System, which stated that between 44,000 and 98,000 Americans die each year as a result of preventable errors3. Most of these preventable medical errors are "caused by faulty systems, processes, and conditions that lead people to make mistakes or fail to prevent them."3 A second publication by the Institute of Medicine noted that the health care system frequently fails to translate knowledge into . . . [Full Text of this Article]


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