All too often, a physician’s strategy during the certification examination is not necessarily to provide the right answer, but instead, to give the “expected” answer. My post last week about guidelines led many readers to write that they could not ignore the guidelines — even if they believed that they were wrong — because the guidelines represented the “expected” answers to questions asked during the recertification process.
If a clinician had independently read and analyzed the literature and had reached a conclusion that differed from that in a guideline, they would still need to provide the guideline-directed answer to the question during the formal examination.
For many physicians, the more you know, the more likely it is that you will get the question wrong.
Last week, the New York Times ran a story about the certification process in the discipline of — astrology!