What Is Medical Board Certification?

Why is it important for a doctor to be board certified?

It's important to research your doctors so you know the level of care they provide meets a certain standard. In your research, you will notice that many doctors are "board-certified," but what does that mean?

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Essentially, it tells you that the physician has met the requirements of a recognized medical board for certification. This is a step beyond obtaining a medical license and it's important that you understand its significance.

Are All Doctors Board-Certified?

A medical "board" is an organization that doctors can join by meeting the requirements for membership. Whether that doctor is a specialist or a primary care physician, they may decide that demonstrating that level of competency will enhance her esteem and career standing among colleagues and patients. 

Most practicing physicians in the U.S. are board-certified. While being board-certified guarantees a doctor has met a minimum competency requirement, the same cannot be said for those who are not board-certified.

Non-certified doctors may be more or less competent. They may not be board-certified for any number of reasons. For instance, they may not have applied their certification credentials or they may have been turned down for membership. It's also possible that they have lost the credential for failing to continue meeting the minimum requirements.

The Criteria for Board Certification

Among medical doctors (MDs), the "gold standard" is a set of criteria developed by an association that many boards subscribe to called the American Board of Medical Specialties (ABMS). The criteria include aspects such as the number of years in school or fellowship programs, the area of practice, and any licensing and sub-specialty certifications.

Doctors in practice more than a few years must also meet continuing education requirements. The requirements for each board will vary based on the specialty. A master list of the ABMS specialty and sub-specialty member boards is available at the ABMS website.

Osteopathic doctors (DOs) may be members of another well-respected group of numerous boards which are a part of the American Osteopathic Association. Osteopathic specialists must meet minimum requirements which are similar in scope to the requirements of the ABMS. Some osteopaths join ABMS boards in place of their corresponding AOA board.

A third organization of boards accepts both MDs and DOs into its member boards. The American Board of Physician Specialties is comprised of separate boards as well. It is a smaller organization, but its credentialing process is no less rigorous than the other two.

Not All Boards Are Created Equal

As mentioned above, the ABMS has created a set of minimum competencies they call the "gold standard." The AOA and ABPS have similar sets of standards. There are boards and certifications that do not subscribe to those competencies for various reasons, and they are not members of either organization.

Some of these specialties are quite new and are in the process of defining themselves. For example, the Board of Hospice and Palliative Medicine joined the ABMS in 2006 and its first exam for members was given in 2008. 

Other boards have a set of criteria that may or may not be equal to, but have decided not to join the ABMS or AOA. Examples are the American Board of Facial and Plastic Reconstructive Surgery (ABFPRS) and the American Board of Urgent Care Medicine (ABUCM).

You may see certificates on the wall of a doctor's office, or you may find notations of certifications on a doctor's resume or website. Don't confuse these with board certifications. In some cases, those certificates are earned by attending a weekend workshop, or by writing a big enough check in order to say he or she is "certified." This is not the same as board-certified.

The Difference Between Licensed and Board-Certified

Each state in the U.S. has a physician licensing system in place. In order to practice in that state, a doctor must be licensed in that state. The requirements for licensure vary, but those requirements are not as stringent as those for certification boards.

Doctors who are ABMS and AOA board-certified are all licensed. But doctors who are licensed are not necessarily members of an ABMS or AOA member board.

Wise patients understand the background and importance of board certification for medical specialties. Further, they research a potential doctor's board certification to learn more about what competencies they can expect from that practitioner.

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