I really don't give a shit about the costs. I expect my stroke doctors to be completely up-to-date on treating stroke from emergency room, through the first week of neuronal cascade of death, to specific proven rehab stroke protocols. Anything less is incompentence and should be a fireable offense from their hospitals. Somehow we have to weed out those that refuse to keep up because they are endangering our health and our recovery. As a programmer I've had to learn at least 6-8 different languages/technologies to keep up with the industry over 30+ years and I don't have other peoples lives in my hands.
http://scopeblog.stanford.edu/2015/08/03/study-examines-high-costs-of-maintaining-medical-certification/
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