Your AOA dues are hard at work promoting the Interstate Medical License Compact. This will mean mandatory certification for all new graduates before obtaining a license. And the claim that OCC isn’t required for licensure through the Compact is pure smokescreen. Does the AOA underestimate the intelligence of its members? Or perhaps AOA staff overestimates their own?
Is OCC required for licensure through the Compact? “The answer to this question is ‘no,'” states the Commission. Yet a few sentences later they explain, “a physician must demonstrate current certification to be eligible for licensure via the Compact.”
Except for “grandfathers,” osteopathic physicians must pay in time and dollars for OCC compliance if they want to maintain their certification. OCC IS required for Compact participation. Q.E.D. Continue reading →
On February 10, 2012 Medical Economics published my letter: Why don’t lawyers have to be recertified?
As an obstetrician/gynecologist who finished my residency in 1985, I earned a 10-year certificate when taking my boards. If I had graduated in 1984, I would have been certified for life. The American Board of Obstetrics and Gynecology (ABOG) requires a two-part exam. The first part is written, and the second is a 3-hour oral examination, part of which is based on the entire list of all the physician’s hospitalized patients plus representative outpatient visits. I passed and was recertified 10 years later. In 2001, my specialty board modified the certificate to be valid for 6 years. Continue reading →
This profession is too used to abuse . It begins in pre-med, medical school and our training as “students” where our US labor rights are violated. Even college athletes have won a Federal case to get classified as employees of the colleges that were using them as “students”.
We have to influence our colleagues to stop swallowing each cup of poison they want us to drink. The costs of MOC for Int Med exceeds what I get paid from any contract I have with United, Aetna or Cigna, making the MOC a huge loss anyway you look at it. The summer months are supposed to be slow for medical care but I was seeing 23 patients a day with another 90 minutes of computer work at night to just do the documentation, MU, PQRS etc.
The only way I could do MOC is to not sleep or sacrifice my family time which my wife says will never happen again as she has seen hundreds of hours lost in the past due to the re-certification exams. I have lost entire weeks of my life for this certification scam.
The human cost of MOC is not fully exposed and must be. The hundreds of hours of our scarce free time is lost for trivial pursuit that we all know does NOT improve patient care ( 2 JAMA studies 2014 prove this ) . The psychological toll of fear , potential loss of income and actual loss of money on this coercion is glossed over, as if we were all CEOs making $4million a year at a non-profit hospital.
I never see written interviews of the families who suffer the absence of a parent who is hostage to recertification /MOC; what does it do to them? This abuse has to end now . People call us doctor which seems to elevate us but in reality we have become almost slaves. One of my long times friends finally got his BA degree and he runs a hospital physician system that employs 22 MD/DOs ; they have to answer to him . So much for the doctor title.
A new study has set out to quantify the time and cost many internists and internal medicine (IM) subspecialists will spend to meet the American Board of Internal Medicine (ABIM) maintenance of certification (MOC) requirements. Over the course of 10 years, a 35% increase in fees and 26% increase in hours spent was found.
The study also found when the dollar value of physician time is added to MOC fees, internists and IM subspecialists will spend $23,607.
ABIM President Richard Baron, MD, disputed the study’s assumption that continuing medical education (CME) credits will only amount to 25% of the requirements. Baron said that CME could easily satisfy 100%, not 25%, of the requirements.
Medical Economics asks: Do these numbers accurately reflect an increase in the time and money you expect to spend on MOC over the next 10 years?
Paul Kempen, MD, PhD writes Howard Bauchner, Editor-in-Chief JAMA
Dear Dr Bauchner,
While you have taken great care to include various viewpoints on ways to perform MOC, you have never allowed a viewpoint that argues for abandoning MOC entirely. Instead, you use Tierstein and Topol’s work as an “opposing view” on MOC when, in fact, it is another permutation of the same concept-only industrial competition has invited this view. Therefore, I respectfully ask you to consider publishing a perspective piece (“viewpoint”) that makes a case for abandoning the “MOC” program entirely in lieu of a more conventional CME model. I would also emphasize the difference Between MOC and CME is that CME is self-directed and MOC is centrally-directed — hence, a VERY different concept that has large patient care ramifications (and not to mention the recently documented by the very salesmen of this product (ABIM/ABMS, Etc) to have been a mistake). Continue reading →
Please check these stories from Feb Modern Healthcare (links below). I think application of this information to the ABIM and ABMS would be a new and possibly very effective strategy. If a concierge firm can loose $8.5 million for essentially false advertisement-the ABMS “higher standards better care” is also false advertisement and THEY actively sell their certification based on “quality indicator” to patients and CONGRESS! Hundreds to Thousands of ABMS certified docs commit malpractice each year-not better medicine!
The second article indicates the FTC and the US Justice Department’s Antitrust Division should also be willing to investigate the ABMS for clear waste of funds as the same “Quality indicator” lie. The AAPS could stand to win MiIlions from a Qui Tam suit BECAUSE the FEDs PAID millions to doctors for nothing under the 4 years of PQRS-MOC and because it was now discontinued before the feds could introduce large penalties for NOT doing MOC, this was all a waste of federal Medicare dollars. I demonstrated per CMS FOI data the $1 million was spent in 2011 alone on MOC PQRS.
Good news! Even the ACA and the congressmen have listened and destroyed the PQRS-MOC incentive-if we can only believe the ABIM and they probably are telling the truth on this one. The continued decline of ABMS and ABIM power base is evident!
“As of January 1, 2015, the PQRS MOC Incentive Program will no longer exist. The Affordable Care Act (ACA) enacted the program as a way to encourage physicians’ participation in the Physician Quality Reporting System (PQRS), while also recognizing the value and importance of American Board of Medical Specialties (ABMS) Maintenance of Certification (MOC) programs. ABIM participated as a member board from 2012 through 2014. The ACA ended the PQRS MOC Incentive Program after 2014 (though the underlying PQRS program continues).”
The tide is turning. Be sure to put this from NEJM on the table of your medical staff and demand all requirements for board certification be removed from privileges, insurance payment and licensing.
If you want a solid understanding of the history and extortion of the ABMS, see this lecture, especially around minute 40 when the obvious requirement for YEARLY payments through threats of losing your certification in spit of a 10 year issued certificate is clearly stated-valid only if MOC compliant printed right on the darn thing! Stop paying extortion and rise up against this ponzi style enrichment scheme. Continue reading →
Dr. Jonathan Weiss shares his correspondence with ABIM:
ABIM’s Maintenance of Certification (MOC) program in fact does NOT offer me a structured framework for keeping up with and assessing my knowledge of the latest scientific developments in practice in my specialty. Rather, it offers me a structured program in indentured servitude to the ABIM, a program which, you’ll have to forgive me, I will now take a pass on, after 20 years of foolish and blind participation, with NO benefit whatsoever to my practice of medicine. We understand how busy you are but wanted to inform you that since you did not fulfill your MOC requirements by December 31, 2014 your MOC status changed on January 1, 2015. Really? I don’t think you have the slightest idea how busy a front line, in-the-trenches clinician is in this country, trying to stay afloat above EMR, MU, MOC and other burdens, but then, how could you know what we go through on a daily basis from your ivory tower?
Log in and view your MOC Status Report to check your status for the certifications you hold as well as your outstanding MOC program requirements. Your Status Report will tell you what you need to do. What I need to do is continue to deliver excellent care to my patients, continue to pursue self-directed inexpensive life long learning of my choosing and to not allow so much as one more dime of my hard earning money to pass into your overflowing coffers.
Your certification status will be restored as soon as your outstanding requirements are met. There is nothing wrong with my certification status; like a lawyer who passes the bar, I became certified at the completion of my training and I will be forever certified. I am free of you.