The old method led to problems, an example of which is that of family medicine whose specialists must, like doctors of emergency medicine, have knowledge of all areas of medicine. When family medicine began awarding certifications, many doctors got their certifications but then didn't practice family medicine.
授權醫學會辦理曾出現瑕疵﹘﹘過去和急診醫學科性質類似，同樣必須全科都看的家庭醫學科開放認證時，許多醫生都申請了證照卻不投入家醫領域，反而拿著證照到處開業。