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For the first time, the American Board of Internal Medicine faces competition in the certification business from another entity, the National Board of Physicians and Surgeons (nbpas.org). Much of the controversy about the recent behavior of the American Board of Internal Medicine is detailed on their new competitor’s website, including a debate between the rival parties. In a survey on Sermo, a physician-only website, 97% of physicians favored the elimination of Maintenance of Certification.