A "consumer revolution" is upon us. In virtually every area of commerce and service, the buyer is no longer willing to "beware" of the product; he now demands that the producer give him a safe and effective product. Automobiles, for example, have been added to the public's "close-scrutiny" list that once included only food and drugs. And when the President's Advisory Commission on Health Manpower warned, more than a year ago, that a "quality gap" exists between optimal and medical care and that which is currently offered to the public, one could hear the rumblings of a "patient" revolution reaching into the domain of the physician. What this portends is difficult to say. Mandatory periodic relicensure or recertification is clearly a possibility if medicine does not move, and move quickly, to demonstrate that practitioners can be and are being continuously brought up to date in their knowledge and