With physicians it’s often a discussion about another examination, more training, and another testing modality. The process of certification and its maintenance is so patients know we are who we say we are. For doctors, it assures we have the training to take care of people and do things right. It’s about doing the right thing for patients for the right reasons. It lets us sharpen our skills, and gives us incentive to learn new processes. It behooves us to stay up-to-date and informed, and to make sure the public understands that we’re informed as well. The certification boards are, in reality, consumer protection organizations.