Dr. Randy Alexander

Nowadays, not so much in my day and Dr. Jensen's day, but now if you want to be a child abuse pediatrician, you have to do a three-year fellowship.

And then at the end of that, you have to pass a test, a national test that's given.

And then you can be a board certified child abuse pediatrician.

And then we got grandfathered in, in our day back in 2009.

And then we had to show that we'd been doing child abuse pediatrics for, I think it was five years or something, at least half time.

And then we had to have letters of recommendation and then we had to pass the national test, um, to be able to say that we were that.

And then I just completed the cycle, but we get, um, every quarter we were getting tests, online tests, and we had to pass these questions and everything else.

And it was only after five years of doing that, that they gave me what's called maintenance of certification, which is basically

kind of like saying your credentials are continued, but guess what?

You're going to get it again.

And so this is something where, you know, where they're constantly testing you on these things, you know, to make sure that you're up to speed.

And that's true for many other specialties as well.

I don't know if it's true for everyone, but.

For a lot of them, it is.

And so it's sort of a quality control that is being done nationally on all that.

And of course, you're getting your feedback from your colleagues that, you know, are in your office or you're in your hospital or wherever they are.

I mean, you know, you certainly hear from your colleagues and they tend not to be shy.

A bunch of doctors together, they talk.

And if they had a big worry about you, you'd know pretty quick, you know, that they had concerns about you.

And then we go to conferences, various child abuse conferences.