The official journal of the International Anesthesia Research Society, Anesthesia and Analgesia has published Dr. Paul Kempen’s (M.D., Ph.D.) comprehensive review of “Maintenance of Certification and Licensure: Regulatory Capture of Medicine” in Vol. 118. No. 6, June 2014 edition.
A related CME activity can be found at https://cme.iars.org/a/7669P2qfFBt
I grew up in a blue collar inner city “broken home,” and worked continuously from age 14 onward. I paid my way through catholic high school and public university, learning German as a premedical prerequisite. Financial aid allowed me to go to Germany as a “Junior Year Abroad” student. I was admitted after 1 semester into a premier medical program of the Albert Ludwig Universität Freiburg, founded in 1457, completing my American Bachelor of Science in Biology in Germany over the next 3 semesters. I then traveled to New Zealand for medical externship for 6 months.
As a medical student, I was qualified to work as a nurse after completing a 2-month rotation in clinical nursing as required by my program. During my semester breaks, I often worked 11-hour shifts as a night nurse on the surgical ward. My record was 30 consecutive 11-hour night shifts. This work, along with periodic red cell and plasma donations, allowed me to finance my medical study in Europe.