A friend of IP4PI writes in:
The AOA just passed a resolution committing our membership dollars to lobby for Maintenance of Licensure requirements [overseen by the AOA]. I was not able to be in the committee hearing, but in our state meeting we voted against it. On the floor of the house, when I expected our leadership to speak the will of the caucus, they did not speak at all. All states were silent as to the issue and it passed quickly without any objection. In fact, it appeared that most delegates were not yet awake. The only comment I got when I asked why we did not defend ourselves was that MOL is inevitable, and we have to vote for it if we want a place at the table. When will doctors learn that if they are told to advocate for their own destruction in order to make it less painful, it means they were never at the table. We just helped by marinating ourselves for our place ON the table?
[Note from editor: Further demonstrating the AOA’s disregard for members, a provision in the resolutions directing the AOA to “make OCC more manageable and economically feasible was struck.]
H-627 MAINTENANCE OF LICENSURE (H638-A/14) Resolution No. H-627
Be it resolved: The American Osteopathic Association (AOA)
(1) supports the development of state level maintenance of licensure (MOL) programs to demonstrate that ALL physicians are competent TO provide quality care THAT INCORPORATES RELEVANT TECHNOLOGICAL AND SCIENTIFIC ADVANCEMENTS over the course of their career. Flexible pathways for achieving MOL should be maintained. The requirements for MOL should balance transparency with privacy protection and not be overly burdensome or costly to physicians or state licensing boards;
(2) Continues to address and promote physician competency through the teaching of core competencies at the predoctoral and postdoctoral levels as well as ongoing physician assessment through Osteopathic Continuous Certification (OCC) and the AOA Clinical Assessment Program (CAP) or its equivalent;
(3) Continues to work with State Osteopathic Affiliates, the American Association of Osteopathic Examiners and other stakeholders to establish, AND implement MOL policies that promote patient safety and the delivery of high quality of care;
(4)WILL THROUGH ITS BUREAUS, COUNCILS AND COMMITTEES, CONTINUE TO ENSURE THAT OCC IS RECOGNIZED BY THE FEDERAL GOVERNMENT, STATE GOVERNMENTS AND OTHER REGULATORY AGENCIES AND CREDENTIALING BODIES AS EQUIVALENT TO OTHER NATIONAL CERTIFYING BODIES’ “MAINTENANCE” OR “CONTINUOUS” CERTIFICATION PROGRAMS.;
(5) WHILE SUPPORTING THE USE OF BOARD CERTIFICATION AS A RECOGNITION OF QUALITY AND EXCELLENCE, SIGNIFYING THE HIGHEST PHYSICIAN ACHIEVEMENT IN A PARTICULAR SPECIALTY; OPPOSES ANY EFFORTS TO REQUIRE OCC AS A CONDITION OF MEDICAL LICENSURE.;
(6) THE AOA COLLABORATES WITH ENTITIES PROPERLY QUALIFIED FOR AND TASKED WITH DECISION-MAKING REGARDING INSURANCE PAYMENT, HOSPITAL PRIVILEGES, NETWORK PARTICIPATION, PAYMENT MALPRACTICE INSURANCE COVERAGE, PHYSICIAN EMPLOYMENT, TO DETERMINE THE ROLE OF PHYSICIAN BOARD CERTIFICATION AND OCC OR OTHER “MAINTENANCE” OF CERTIFICATION” PROGRAMS IN SUCH DECISIONS.;
(7) CONTINUES TO INNOVATE AND IMPROVE THE OCC PROCESS.