Maintenance of Certification and Licensure: Regulatory Capture of Medicine

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.

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A related CME activity can be found at

Article Excerpt:

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.

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