ABA Has Failed to Stand Up to ABMS on MOC

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

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A Call for AOBA to Return to Lifetime Certification – No OCC

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

ABA Leadership has seen the Light and it is $$$

Dear Tom:

I know you received my prior and recent email and have not heard from you since. This was evident in your concerns that your “secret” communication was disseminated. Please realize the open nature of the internet and ability to find data there!

As an ABA diplomate, currently listed as “moc compliant”-what a joke, and member of the ASA and licensed physician anesthesiologist in PA, I find it UN-collegial of you to fail to respond to my previous email. Think it is time to really sit down and discuss the problems facing the ABA as a member of the ABMS. Your non-response clearly indicates your inability to discuss openly the real issues of extortion propagated by the ABMS. NO wonder, with the imposing leadership and financial obligations your new position imposes. YOu could make THE difference,but we both know you never would have gotten the job if you had a moral backbone. We both also recognize that the ABA NEVER wanted to go down the road of MOC or time limited certification, but I guess you and the leadership Have seen the Light and it = $$$$$$$$.

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ABA should do the right thing: abandon time limited certifications completely #MOC

Paul Kempen, MD, PhD passes along correspondence with Lehigh Valley Health Network, Dept. of Anes. Chair Dr. McLoughlin with a short intro:

Just this week, Lance Talmage as Chairman of the FSMB board indicated that “300,000 physicians” are currently enrolled in MOC-as a very supportive statement. With over 850,000 docs in the USA this documents a small 37% acceptance! This needs to be advertised. It is time for the ABMS tyranny to be “irrelevant”!

Dear Dr McLoughlin:

Please consider the fact that Grandfather recertification is a non-starter, with well below 10% compliance to date. As the ABMS and the ABIM continue to push all 24 affiliates to subscribe to their demands, physicians are beginning to lose employment secondary to certification expirations. This is a real problem faced with the “physician shortage and baby boomer onslaught”. As “MOC compliance” becomes the “new standard” under ABMS tyranny, everyone becomes extorted into “compliance” or retirement. At the same time, non-physicians are being given the right to practice medicine and anesthesia, also outside the state board oversight. Some highly-trained nurses in Minnesota will no longer be required to have a physician supervise their work. Gov. Mark Dayton has signed a bill that gives advanced practice registered nurses the authority to practice independently.The licensing change, which takes effect Jan. 1, applies to nurse-midwives, nurse practitioners, clinical nurse specialists and registered nurse anesthetists. That makes Minnesota the ninth state to grant full practice and prescribing autonomy to all four categories of advanced practice nurses.

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