“…Nursing and physician certification processes share similarities with regard to skills and competencies required to demonstrate eligibility for and maintain certification in their fields. The motivation and need for obtaining formal [20], [22], [39], [40], [42] Informatics competencies as listed on the outline for board certification: leading and managing change, health information systems, fundamentals of informatics, clinical decision making and care process improvement, legal, ethical, and regulatory issues Eligibility is limited to physicians with MD or DO degree; current, unrestricted medical license in the U.S.; current American board certification in primary clinical discipline or pathology Continuing education needs for maintenance of certification; requires examination once every 10 years certification may be driven by prospects for positions in the field. However, this remains to be seen with respect to physicians, who at present do not need formal board certification in clinical informatics to take operational, teaching, research, or leadership positions such as chief health or medical informatics officers or directors of clinical informatics.…”