This study, published in Mayo Clinic Proceedings, sought to determine physicians’ perceptions of current maintenance of certification activities and to explore how perceptions vary across specialties, practice characteristics, and physician characteristics, including burnout. The researchers conducted an internet and paper survey among a national cross-specialty random sample of licensed U.S. physicians. Results indicated that dissatisfaction with current maintenance of certification programs is pervasive and not localized to specific sectors or specialties. A large proportion of respondents (38%) met criteria for burnout. Unresolved negative perceptions can impede optimal physician engagement in maintenance of certification.