In this edition of the “Peer to Peer” audiocast series, Dr. Vincent DeLeo speaks with Dr. Lela A. Lee about the new American Board of Dermatology Certification Examination. According to Dr. Lee, the new certification process shifts the focus from fact memorization to clinical decision-making and is designed to mimic the process of becoming a good dermatologist. She walks the listener through the 3 parts of the certification process—the basic, core, and applied exams—and notes how these changes will impact current and future dermatology residents.