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To the Editor.— The editorial pages of the Archives seem a logical place in which to examine current practices of the American Board of Psychiatry and Neurology. This communication is prompted by a belief that the Board is currently not living up to its responsibilities and is failing in its stated purpose of distinguishing "the fully qualified specialist from the would-be specialist of inferior training and inadequate experience."1It is imperative that the Board's activities be fair and efficient. Since 1934, the Board has begun to assume a position of ever-increasing importance in the careers of neurologists. The diploma it grants has become a major determinant of academic rank, hospital priviledge sic, and salary. In the future the diploma or a similar designation will be necessary for full payment of fees by National Health Insurance or third party carriers, which is not the case now. At present, the Board
Thomas R. Swift (Wed,) studied this question.