As we’ve warned before, The Interstate Medical Licensure Compact, is not going to solve the problem it claims to fix. It simply creates a new bureaucratic entity with little meaningful accountability.
The Commission in control of the Compact appears to be making a minor concession on the issue of MOC in an upcoming rule. The proposed rule currently under consideration requires that a physician seeking Compact licensure:
Holds specialty certification or a time-unlimited specialty certificate recognized by the ABMS or the AOA’s Bureau of Osteopathic Specialists. The specialty certification or a time unlimited specialty certificate does not have to be maintained once a physician is initially determined to be eligible for expedited licensure through the Compact.
Because of the above wording, the Commission will now claim they aren’t requiring MOC for Compact participation. However as board certification is required at the time of initial determination of eligibility, physicians not participating in onerous recertification schemes when applying for a compact license may find their ability to obtain a license via the compact in jeopardy.
Stuart Damon, DO shares his recent correspondence with then-AOA President (now Immediate Past President) John Becher, DO:
From: Stuart Damon
Date: April 13, 2016
To: John Becher
Subject: Re: What makes you and me different?
Dr. Becher –
Thank you for your reply. I do appreciate your response.
With respect, a HOD resolution isn’t enough. From what I have heard so far, the ACOFP has forwarded a recommendation encouraging review of OCC. Tactically and strategically inadequate. OCC and recertification both need to be done away with by immediate action of the AOA leadership.
OCC and the manner in which came into being is a symptom of a larger problem (more to follow).
There are virtually no data that compare lifetime with time-limited diplomates; I have found two such studies. Neither involved a large sample space, and both demonstrated similar results: though the marker of quality was different between the two studies, there were no differences between lifetime and time-limited certification holders. Continue reading
Update: For more details and contact info related to this ground-breaking suit:
A group of the nation’s osteopathic doctors – including IP4PI founder, Craig M Wax, DO, along with Albert A. Talone, DO, Richard Renza, DO, and Roy Stoller, DO – filed suit against the American Osteopathic Association (AOA) to recover millions of dollars in annual membership fees that the doctors have been forced to pay for years to the organization. The money is paid as a condition of obtaining and maintaining physicians’ board certification in any advanced medical specialty. The physicians—who have filed the suit as a class action—contend that the requirement that they purchase memberships is illegal, has no reasonable connection to the advanced certification and violates the antitrust laws.
Class-action lawsuit filed against American Osteopathic Association over membership fees Philadelphia Business Journal, August 2, 2016
Doctors of Osteopathic Medicine in Certification Dispute Philadelphia Inquirer, August 2, 2016
Duane Morris Press Release: Osteopathic Physicians Sue to Recover Millions of Dollars in Membership Fees Paid to the AOA to Maintain Their Board Certifications
Class Action Complaint: Filed on August 1, 2016 in the U.S. District Court for the District of New Jersey
A friend of IP4PI writes in:
I would like to take few moments of your time and share with you some ideas on MOC/OCC and board re-certification exams. As a fellow physician and a Son of Dr. A.T. Still, we all share similar concerns. Our burden is to be true and faithful to our profession and to serve the needs of our patients honestly.
As an Osteopathic Physician like many in my situation, I completed my Osteopathic Internship, and participated in an ACGME anesthesia residency program which makes us uniquely qualified to be board certified by the AOA AOBA, ABMS ABA and The Royal College of Physicians and Surgeons of Canada, FRCPC (Canada). All three are fully respected and recognized in the USA. As a matter of fact, in my training program at USC we had many doctors from Canada who were certified by the FRCPC and were fully incorporated with a full Professorship status. The FRCPC has always been a Life-Time board certification process. Now, recently, last year, ABA has also re-adopted the Life-Time board certification process and dropped the EVERY-10-YEARS re-certification exam. Continue reading
Via Paul Kempen, MD, PhD:
Everyone should review this free article in NEJM from the CEO of the ACCME. Clearly profit oriented propaganda for ACCME and MOC! I encourage EVERYONE to make a comment on this article! My comment is as follows-hopefully will be published!
CLICK HERE to view the ACCME 990 form.
This article is concerning. It is free advertisement for the ACCME (a $12 million gross receipts a year “business”) as well as the increasingly suspicious ABMS MOC industry (earning over $400 million cumulatively each year) . The most recent IRS 990 form from 2014 lists the CEO salary at over $450K annually-whereby Graham McMahon is also listed as “principal officer” in 2014, yet without indication that any money was paid. This is 2016, He is CEO. Anyone reading this article MUST recognize it as a free advertisement for corporate products. While such “public service” to physicians is given 501-c tax free status, we must all recognize that physicians are forced to buy these products. True competition does not exist with such 501-c corporate monopolies! These monopolies are historic legacies and deserve serious consideration in this millennium, even though the AMA support reached back 100 years!
It is time to review the many corporate monopolies extorting payments from physicians without FREE choice! YES, changes to post graduate education must ELIMINATE extortion of physicians to learn from corporate products. Non-profits must start offering FREE service or lose exempt status!!!
An Oklahoma physician writes in:
Yesterday, April 11, 2016 our Governor signed a bill preventing entities from using MOC or OCC as a condition for licensure, reimbursement, employment or admitting privileges at a hospital.
Click here to read SB 1148.
This is HUGE!!! We essentially blocked ABMS and AOA lobbying efforts and hopefully blocked the Interstate Compact law (which we successfully squashed for this year’s legislative efforts).
This may be a model to squash MOC and OCC forever.
Note: This victory follows Kentucky’s anti-MOC, bill SB 17, passed earlier this year.
Is your state considering entering the Interstate Medical Licensure Compact? Educate your legislators about why this is a bad idea. Below is a sample letter you can use to assist your outreach efforts. Even if your state isn’t yet a target start educating your legislators and colleagues today!
Dear Members of the Colorado House of Representatives,
Thank you for your dedicated service to the citizens of Colorado.
We are writing to voice concerns about HB 16-1047 which, if passed, will sign Colorado on to the Interstate Medical Licensure Compact. The Interstate Medical Licensure Compact “may seem like a positive step” at first glance, warns CATO adjunct scholar Shirley Svorny, PhD. She continues, “[t]he compact is being promoted, disingenuously, as addressing license portability and access to interstate telemedicine…. Adding the Compact Commission creates another layer of bureaucracy and costs.”
States that are closely looking at the Compact are increasingly rejecting it and exploring other state-controlled policy options to better accomplish the goal of license portability. Continue reading