Friend of IP4PI, Jef Fernley, DO shares his correspondence with the American Board of Anesthesiology.
Esteemed colleagues of the ABA,
You should have left well enough alone. For decades it was believed that being “Board Certified” was actually a hallmark of a quality Physician, something to set himself/herself apart from the rest, something to inspire confidence, a feather in one’s cap, and print on one’s business card. The field of Anesthesiology has a proud history of independence and innovation. The ABA used to be a reflection of that. But you failed to stand up to the ABMS on MOC. I think everyone understands that staring a novel multi-million dollar stream of revenue in the face is a very hard thing to reject. You should have rejected it. With the absence of any unbiased supportive evidence for MOC, and let’s be realistic, anyone who has a job taking care of patients rather than publishing papers knows that physician quality can’t be measured by any single test, therefore there won’t ever be any such real evidence. Continue reading
Received from Maryland physician Jef Fernley, DO:
I have just got off the phone with Mary Beth Carozza, my State Delegate. Following in the wake of legal actions against MOC in OK, MI, Florida, and others, I expressed to her that I wish to have her champion legislation ending compulsory MOC in Maryland. The bill I’d offer basically says, if you wish to participate in Maintenance of Certification efforts, you are welcome to, if you do NOT, no employer, payer, etc. can use your board certification status to hire, fire, pay, not pay, promote, demote, etc. you. It makes MOC voluntary.
If you love MOC, truly believe that it’s improved the quality of your patient care, made you a better doctor, and that it’s completely worth the time, effort, and $$ you’ve invested, and you care not one bit how your board has used that tremendous surge in their income, then I apologize for having bothered you with this, feel free to delete without reading further. Continue reading
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!!!