I was Director of Information Systems at the American Board of Family Practice (now the American Board of Family Medicine) from 1980 to 1986. I acted as a computer consultant to the American Board of Radiology from 1984 to 1999. So I know something about this stuff.
The American Board of Family Medicine is one of newest -- I think that only the American Board of Emergency Medicine is newer. ABFM was founded here in Lexington in 1969. It was the first board to the require recertification. Diplomates -- those completing the certification procedure, which includes a multi-year residency program and written examination -- were given a dated certificate by ABFM, with an expiration date 7 years after the exam. The diplomates normally recertified on a 6 year cycle.
The older boards (some of whom also did oral examinations) have gradually added recertification, and pretty much all grandfathered in their diplomates who had originally been given an undated certificate. They really didn't have much choice in the matter, there were legal issues -- like if the state gave you a 4 year driver's license and then came back after 2 years and said "Sorry, you need to renew now."
The 20 something specialty boards are all members of the American Board of Medical Specialities (ABMS). They vigorously police their residency programs and their certification procedures, because they need to prove that they are a value-add -- which, from working with them, I believe they are.
So, Random Paul thinks it is SO unfair that he has to recertify, and older diplomates don't, that he founds his own medical certification board??? He's president, his wife's vice-president, his father-in-law's secretary??? As opposed to the medical boards I have worked with, there the board members and officers are all nationally recognized experts in the specialty.
And probably, this is some kind of "matter of principle" ??? In The Highest Libertarian Tradition???
The man is a nut-job. If he wants to form "The American Board of Nut-Jobs" and certify himself, I am totally behind that.
This is teabagger thinking at its finest: "I don't like it, I'm mad as hell, I don't care about reason, logic, or any kind of common sense. I'm going to take my ball and go home" -- good riddance.
Flame off ...