Pediatricians are no strangers to well-intentioned bureaucracy gone awry (CLIA-88, Vaccine Information Pamphlets, et al). Now we can add another one to our list — the American Board of Pediatrics' (ABP) Program for Renewal of Certification in Pediatrics (PRCP). The PRCP has gone from a one-day, $350 exam in 1987 to (an ABP-estimated) eight to 16 days and $985 in 1993. This is progress? I feel that the current incarnation of PRCP imposes an undue burden on busy pediatricians, and that the time, expense and "hassle factor" of PRCP far outweigh any benefits it may have (which, like the "benefits" of CLIA-88 and Vaccine Information Pamphlets, are unproven). But don't take my word for it.

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