Tailoring to the Needs of One's Practice: It's about Time

TO THE EDITOR:

Perhaps the most important statement made by Duffy and Holmboe in their editorial on which procedures internists should do was the one about “tailoring procedural skills to the needs of one's clinical practice setting” (1).

This concept is long overdue. It applies not just to procedural skills, but also to the recertification process—not just for internal medicine, but for family practice as well.

Why? It is almost …