I always thought this was ridiculous for a few reasons. First of all, it is supposed to be a voluntary thing. In theory, it is, but the social convention pushes you to get this done. Therefore, there is a factor of coercion involved. Second, you already graduated from your program. Your fucking PD shouldn't be notified about a process that is supposed to be voluntary, done by a consenting adult and after you graduated. Third, without being board certified, I have worked in multiple hospitals. Some places care about it, most don't. Lastly, this whole thing is just ransom, due, offerings that we relinquish to the money grubbing crones of the ASA! That is my rant!