Jonathan Weiss, MD, a Monticello, New York-based physician who is board-certified in internal medicine, pulmonary medicine, and critical care medicine, is one of them. He describes the exams as a “useless waste of precious time” because they tested material that was irrelevant to his practice and siphoned off time he could have spent with patients.Additionally, he says, “in this day and age, when physicians are encouraged to look things up rather than to rely on memory, a closed-book ‘cognitive’ exam is even more absurd and potentially harmful to patients. And there’s no real evidence that these exams have improved the quality of patient care.”Lesley Fein, MD, a West Caldwell, New Jersey-based rheumatologist, is similarly indignant. “Imagine if lawyers had to pass the bar exam every 10 years. They wouldn’t stand for it,” she observes.