Kevin Pho, MD 3/5/2026

How board certification fuels the physician shortage crisis

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This article analyzes the unintended consequence of board certification and Maintenance of Certification (MOC) requirements on the physician workforce. It argues that the bureaucratic burden and stress of continuous testing are significant factors driving mid-career doctors toward early retirement, thereby exacerbating the projected shortage of up to 86,000 physicians by 2036, particularly in primary care and internal medicine.

How board certification fuels the physician shortage crisis

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