Family Medicine was a child of the 1960s . Triggered by compelling social need for care outside of large hospitals, Family Medicine emphasized access to personal physicians based in the community . As a protest movement, the ABFP required ongoing recertification for all Diplomates, with both independent examination and chart audit . Fifty years later, society and health care have changed dramatically, and it is time again to consider how Board Certification must respond to those change . We propose three interlocking arguments . First, even before COVID-19, health and health care have been in a time of fundamental transformation . Second, given the role Board Certification plays in supporting improvement of healthcare, Board Certification itself must respond to these changes . Third, to move forward, ABFM and the wider Board community must address a series of wicked problems - i.e., problems which are both complex-with many root causes-and complicated- in which interventions create new problems . The wicked problems confronting board certification include : 1) combining summative and formative assessment , 2) improving quality improvement and 3) reaffirming the social contract and professionalism and its assessment.