Doctor, your medical license, hospital privileges and board certification are under attack

Physician activism is making a difference.

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Plans by licensing boards and “non-profit” certification organizations, among others, threaten to require physicians to complete expensive, time consuming, and bureaucratic certification programs (at their own expense and the expense of time spent with patients) in order to simply keep their medical license or hospital privileges.

Under the guise of improving medical care, these schemes, in reality, serve to increase the power and balance sheets of their proponents and are counterproductive to quality patient care.

Last November we sent you an important action alert, copied below. In this new year, take action and help sustain the momentum building behind efforts to stop this growing threat.

Thank you! ~AAPS

Stopping MOC/OCC & MOL
Take Action Today!

Physician-led activism to STOP onerous, expensive, and counterproductive Maintenance of Certification (MOC) / Maintenance of Licensure (MOL) is making a difference. In October, efforts led by Ohio physicians, including AAPS members Paul Kempen, MD, Ken Christman, MD, et al., helped deliver a blow to looming MOL in Ohio.

Continued physician vigilance is needed to stop the push for implementation in other states and to reverse the trend of MOC being increasingly required for hospital privileges and insurance participation.

Below is a letter Craig M. Wax, DO, another AAPS member, is sending to educate his allopathic and osteopathic colleagues about MOC/OCC (Osteopathic Continuous Certification) & MOL. Please read it, educate your colleagues (e.g. forward them this email) and take immediate action.

Additional action items and information sources are listed below his letter.

Dear physician colleague,

You’ve probably heard about, or experienced first hand, the additional time and expense needed to pursue Maintenance of Certification (MOC) / Osteopathic Continuous Certification (OCC). Even if you are lifetime certified, or not certified at all, read on because the push to tie MOC/OCC to Maintenance of Licensure (MOL) could effect your state medical license.

MOC/OCC will take countless hours from your patient care, personal health and family time, as well as more than $3000 in direct cost for each certification period plus extra thousands of dollars more in indirect costs. Physicians and patients are already suffering at the hands of insurance industry and government regulations, and now our own “non-profit” specialty boards are adding to physicians’ burdens in response to government and industry pressure and profit.

In Ohio, during 2012, the State Medical Board of Ohio was working to require that ALL PHYSICIANS participate in these time and money intensive MOC/OCC programs in order for them to maintain their medical licenses. Other states are considering similar plans to tie MOC/OCC to MOL (Maintenance of Licensure) and this is why ALL PHYSICIANS must be active in rejecting these schemes. It was the active practicing physicians in Ohio that loudly objected to participation in the program and caused the state of Ohio to cease implementation.

The time is now to send a letter to the American Board of Medical Specialties (ABMS) or AOA’s Bureau of Osteopathic Specialists (BOS) and appropriate specialty board (ABMS member boards or AOA specialty boards) to let them know you will refuse participation in the MOC/OCC program. This goes for ALL PHYSICIANS no matter what your board certification circumstances are. Click here to read a short sample letter you can send to the certifying board and, click here to read my longer letter listing my specific reasons for not complying with MOC/OCC. Please use these examples as you see fit.

Please DO it now.


Craig M. Wax, DO
Independent Physicians 4 Patient Independence (IP4PI)

Action Items

1. Voice your concern with your certifying specialty board by sending this sample letter:

Contact information can be found at the following links: American Board of Medical Specialties (ABMS), AOA’s Bureau of Osteopathic Specialists (BOS), ABMS member boards, and AOA specialty boards

2. Educate yourself about MOC/OCC & MOL at Tell your colleagues about this resource.

3. Introduce a resolution at your state medical society opposing MOC/OCC & MOL. A model resolution can be found by clicking here.

4. Educate your state legislators about this issue and ask them to consider legislation to stop it. A model bill can be found on Page 78 of

5. Refuse to comply and cutoff the revenue stream to these “non-profit” boards.

Additional Information

Video: MOC/MOL: Moneymaking Machine for “Non-Profit” Boards? Ron Benbassat, MD

Video: What to do about MOC/MOL. Paul Kempen, MD, PhD

Alert Sent to All Ohio Physicians:

Successful Opposition to Maintenance of Licensure: the Ohio Experience as an Educational Template, by Paul Martin Kempen, M.D., Ph.D.

Maintenance of Certification (MOC), Maintenance of Licensure (MOL), and Continuing Medical Education (CME): the Regulatory Capture of Medicine, by Paul Martin Kempen, M.D., Ph.D.

Maintenance of Certification (MOC), Maintenance of Licensure (MOL), and Continuing Medical Education (CME): How the Regulators Prosper, by Kenneth D. Christman, M.D.

Why Do Patients Select and Stay with Their Doctor? Implications Regarding Board Certification and Maintenance of Certification and of Licensure, by Paul Martin Kempen, M.D., Ph.D.

Maintenance of Certification (MOC) and Now Maintenance of Licensure (MOL):Wrong Methodologies to Improve Medical Care, by Paul M. Kempen, M.D., Ph.D.

Board Certification/Recertification/Maintenance of Certification: A Malignant Growth, by Martin Dubravec, M.D.
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