The test is offered once a year. Still, about 275 family physicians lost their certification in 1999. But Dr. Avant added that test scores decline as family physicians become more specialized. For example, a family physician who has specialized in pediatrics might not be as current in gynecology or geriatrics, Dr. Avant said. Norman Gant, MD, executive director of the American Board of Obstetrics and Gynecology, said few diplomates lose certification because the basic exam is offered three times a year.
Physicians also have the option of renewing every year by reading materials and taking home tests.
Some others haven't prepared and applied themselves. Business was booming until UnitedHealthcare, a Minneapolis-based HMO, required Dr. DeBevec to be board certified in sports medicine to be reimbursed at the higher specialty rate. But Dr. DeBevec is ineligible to become board certified because he did not complete his three-year family practice residency. I knew this was going to happen one day. Certification does indicate some degree of quality, but it has made it impossible for me to be paid for my expertise in sports medicine.