Abstract
The United States and Canada both have long-standing, highly developed national systems of assessment for medical-licensure based outside the institutions of medical education. This commentary reviews those programs and explores some of the reasons for their implementation and retention for nearly a century. The North American experience may be relevant to dialog about national or European assessments for medical practice.
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Notes on contributors
Donald E. Melnick
DONALD E. MELNICK is President of the US National Board of Medical Examiners.