Resolved: End Re-certification Abuse

Resolution on Re-Certification Sent to NJAOPS HOD

To:       Robert Bowen, Executive Director, NJAOPS

Paul Morris, D.O. Speaker of the House, NJAOPS
Robert Pedowitz, D.O.,President, NJAOPS
Michelina Desantis, D.O., President-Elect, NJAOPS
Ira Monka, D.O., Member, AOA Board of Trustees
Al Talone, D.O., Chairman, JOPAC

Re:        Proposed Resolution on Re-Certification

Date:    Feb 10, 2016

RESOLUTION

Whereas Board Certification was always intended to be a one time accomplishment based upon completion of a course of intensive training, clinical experience and study, followed by an examination and Continue reading

Advertisements

How to return healthcare to real healing

“Osteopathic family physicians have always had patient centered medical home practices. We don’t need insurance or government bodies to certify us for money. We also shouldn’t be forced to sell patient and physician private data for money. we shouldn’t be forced to work for hospital systems due to complicated cronyism federal law. DPC Direct primary care changes 70 years of insurance and government lies and deceit back to the privileged individual patient-physician relationship.” Craig M. Wax DO

Back to Puke, Purge and Blister ?

Since 1888 when the first Osteopath put forth the Principles of Osteopathy and a comprehensive therapeutic program that was much more than puke, purge and blister which was the practice of “Medicine” at that time and as a result was run out of Kansas and went to Kirksville MO where he established the first College of Osteopathy and after 6 years began the American Osteopathic Association which is now in the process of ending the degree of DO and sending all graduates of DO colleges of Osteopathic Medicine to ACGME programs approved by the ABMS and they will certified by the ABMS boards and there will be no more Osteopaths.

I am astounded by the apathy of practicing DO;s and an apparent lack of concern. There are many who think that they should unite with the Allopaths especially in acquiring Board certification. I have been a DO

since 1961 and was a practicing “Internist followed by cardiology and then an MD fellowship in rheumatology completed in 1971. In this time I have been threatened by a malpractice suit 5 times and these were never litigated. I practice rheumatology full time and will do so until my demise. We practice the highest standards of healthcare provision and currently have students rotating from 3 DO schools and 2 MD schools. The
students are astounded by the way we practice as we practice Osteopathy that is far advanced from that which is currently taught at Osteopathic Colleges of Osteopathic medicine. They are seeing patients that revere our way of practice.

We are putting all we can muster in establishing The American Association of Osteopathic Physicians and plan on being Osteopaths in our organization. We have established American Boards of Osteopathic Specialties to provide certification in all specialties. We are interested in how many may join us.

Charles L. Clay DO

I’m a DO, and it is a beautiful thing. We must keep our identity.

Dr. Gina Reghetti shares her thoughts on preserving the practice of osteopathic medicine and formation of an alternative D.O. board:

We must fight the system that wants to change a good thing. Osteopathy needs to stay unchanged, and it needs to be practiced as it was practiced in the past, without insurance involvement because it is the big corporate insurance companies that just couldn’t understand our language so they have attempted to destroy it. Harvard has dealt us serious blows because it’s the allopathic profession that is clueless to the medical practice of Osteopathy, yet they are the ones in positions to judge, and define reimbursement for an area of medicine that they just don’t know. We are not allopathic physicians, and we never will be, and never care to be so we need to stop holding DOs to the same standards as the MDs were trained. We are not trained the same that is why we don’t take the same boards; we are very different!

We must keep our identity especially when big government and national medical organizations are forcing us down one pathway. Continue reading

AOA Empire as a Regulatory Agency

Bob Maurer, D.O. writes:

To My Fellow Osteopathic Physicians: It is incredible how dysfunctional many of the AOA administrative departments have become. One of the biggest problem with the AOA is the empire that John Crosby built over the past ten years. It is an empire that the AOA directors do not recognize and do not know how to dismantle.

A prime example is the AOA administrative leader who told us that a lecture on the use of the new defibrillator was inappropriate for practicing osteopathic physicians.

The AOA has become a regulatory agency of its own, many times more dangerous than our own federal and state governments. It is overloaded with top level administrators, many of whom have the sole function of creating regulatory requirements that are detrimental to you and I and our fellow AOA members. Continue reading

ALL DOs must read this now prior to AOA delegates mtg July 18, 2014

CLICK HERE to download this letter and table of resolutions in PDF format.

Dear Osteopathic physician,​​​​​ 7/10/2014

In recent years the American Osteopathic Association (AOA) has strategically traded away their responsibility to their constituent members bringing government and insurance industry regulation ever increasingly in between the physician and the patient. They have done so, in favor of corporate strategies and business models that have eroded patient quality of care, decreased physician efficiency, sacrificed private practice, buried physician offices in paperwork, and cost physicians tremendous expense and anxiety. Through all of this they have not only not provided additional benefit to the patient population but they have detracted from it. The result of their negotiations and agreements has been a collapse of healthcare delivery under the heavy hands of mandatory enforcement, the advancement of third party intervention, the reduction of patient contact time, the reduction of net income to physicians, the decrease in access to quality care for patients and the massive increase in bureaucracy. All this has added great expense for all premium payers and physicians while new corporate structures and businesses are created from that drain on healthcare delivery. They are about to now give away our professions control over our unique educational paradigm and in the contract, force us to give away our uniqueness and our more comprehensive educational requirements, our training sites, and our control of post graduate education to an organization that has no concept of the educational deficit they have regarding our approach to health rather than disease. Our original article “Saving Private Osteopathic medicine,” has been denied JAOA publication for over two years by AOA corporate leadership who are afraid to debate and answer memebership DOs questions. One author, George Watson DO died fighting the process. Read it here: Saving Private Osteopathic Medicine https://ip4pi.wordpress.com/2013/03/31/saving-private-osteopathic-medicine-2/

The proposed ACGME merger, is actually a takeover of OGME that will leave our profession without any autonomy in graduate medical education and will result in the loss of practice autonomy and eventually our Osteopathic schools through the process as it is no laid out over the next 5 years to 2020. This was written about extensively by Norman Gevitz PhD, Osteopathic historian and researcher. http://www.oucom.ohiou.edu/hpf/pdf/bios%20april%202014/2014-AODME%20Presentation%20The%20Unintended%20Consequences%20of%20the%20ACGME%20Merger.pdf

The House of Delegates (HOD) and all practicing DOs must demand the AOA stop their policies toward ACGME merger as proposed, OCC/MOC, MOL, and they must begin to support their osteopathic physician membership unconditionally against ALL competing interests.

Please read 10 point questions below that have been asked of the AOA for answers they have continued to not answer for 3 years this September 2014. If any of the questions raise your “index of suspicion”, contact your AOA State Delegates immediately and prior to the meeting next week, beginning Friday, July 18. The COMPLETE 168 resolutions pending are at the following link: http://www.osteopathic.org/inside-aoa/events/annual-business-meeting/house-resolutions/Pages/default.aspx Please read them and decide for yourself what you might be for or against.

A bulleted list below, of some of the relevant resolution agenda numbers and titles will be followed by recommendations “for or against” them in reference to a large body of physicians in the trenches whose voices are not being listened to by any of the “elected authorities for which our dues pay”.

We as individual Osteopathic Physicians, Osteopathic State Associations members, and as diplomates of Subspecialty Colleges, must take action to change AOA policy direction. Our Osteopathic practice of medicine, our patient populations and our ability to support our families hang in the balance.

10 questions for the AOA that remain un-answered by any executive officer thus far:

1. Why is AOA forcing ACGME merger (takeover of OGME)? What alternatives have also been explored? Why would any organization walk away from millions in government funding that maintain our own unique OGME?

2. Why is AOA pursuing osteopathic continuous certification and maintenance of certification (OCC/MOC) when they are time and money prohibitive for DO physicians? Osteopathic CME has always been flexible and more than adequate.

3. Why is AOA pursuing maintenance of licensure (MOL) against state board autonomy, DO state association preferences and physicians professional independence?

4. Why is AOA not fighting NP and PA expanding practice rights in each state? They are practicing medicine independently in increasing numbers of states without having to complete a full curriculum in medicine. That is condoning malpractice.

5. Why do AOA publications refuse to publish any articles that discuss or question AOA actions and policy?

6. Why is AOA embracing all HHS/CMS policies even before they are written, like pay for performance (P4P) when these policies are being used to deny payment to good practicing physicians instead?

7. Why is AOA complicit in the financial capture of medicine by so-called “stakeholders;” insurance companies, hospital health systems, government, HIT and corporate interests and insistent on excluding patients and physicians in private practice as stakeholders at all?

8. Why is AOA complicit in the regulatory capture of the practice of medicine by government, thus losing all true Osteopathic practice, their professional integrity, and our entire DO professions underpinnings?

9. Why doesn’t the AOA present it’s member DOs with all options of practice including private direct pay options where the patient-physician relationship is paramount and sacrosanct?

10. Why doesn’t the AOA support private independent Osteopathic Medical practice against the competing interest of all others?

40 of the most relevant resolution proposed follow. Please review those of interest to you and make your opinion(s) known to our representative this week.

RES. #

Title

FOR

AGAINST

H-201

Increase in Graduate Medical Education Training Opportunities

FOR

 

H-202

Ensuring Adequate Resources to the Future of Osteopathic Medicine

FOR

 

H-203

Osteopathic Medical Education

FOR

 

H-204

Reversal of Needs Assessment Requirement for CME Programs

FOR

 

H-205

Assure Graduate Medical Education Residency Positions to Graduates of U.S. Medical Schools

FOR

 

H-206

Goal of Osteopathic Graduate Medical Education

FOR

 

H-207

LCME Admission to AOA Residency Programs

FOR: WITH TIME REQUIREMENTS OF EQUIVALENCY IN OPP AND OMT TRAINING

 

H-211

Maintaining the Integrity and Mission of Colleges of Osteopathic Medicine (COM) and University Health Science Centers (UHSC) Granting the Doctor of Osteopathic Medicine Degree (DO) H279-A/09

FOR

 

H-215

Graduate Medical Education – Training Of Us Medical School Graduates (H315- A/09)

FOR

 

H-216

State Mandated Continuing Medical Education Requirements

FOR

 

H-218

Blue Ribbon Commission Report

FOR

 

H-304

Government Funding for Hospitals Not Accepting COCA Students

FOR

 

H-340

Unionization Of Physicians (H233-A/09)

 

AGAINST

H-347

Opposition to Implementation of ICD-10

FOR

 

H-348

Osteopathic Physician Compensation Tied to Patient Satisfaction Surveys

FOR

 

H-404

Correction of Public Information about the Osteopathic Profession

FOR

 

H-500

AOA Constitution & Bylaws – AOA Executive Director – Title Change

 

AGAINST

H-603

Opposition to Maintenance of Licensure

FOR

 

H-604

Dissemination of Evidence Based Osteopathic Medicine

FOR

 

H-607

Government Intervention in Private Practice H213-A/09 (H219-A/04)

FOR

 

H-609

Centers for Medicare and Medicaid Services (CMS) Communications With Physicians H216-A/09 (H222-A/04)

FOR

 

H-627

Industry Transparency Standards (H326- A/09)

FOR

 

H-632

Centers for Medicare and Medicaid Documentation Regulations

FOR

 

H-636

BSGA Report on H-623-A/2013 Opposition to Maintenance of Licensure

DEMAND ACTION ON THIS. PUT IT TO A VOTE

 

H-637

Collaboration to Protect the Integrity of the Physician Testing Process for Unlimited Licensure (H327-A/09)

 

AGAINST LETTING AMA RUN OUR TESTING

H-800

Unified Graduate Medical Education Accreditation System

 

AGAINST

H-801

AOA/AACOM/ACGME Single Unified Graduate Medical Education Accreditation System

FOR

 

H-802

AOA/AACOM/ACGME Single Accreditation System For GME

 

AGAINST

H-803

NJAOPS’ Support For ACOFP Resolution “AOA/AACOM Unified Residency Accreditation System”

WITHDRAWN

 

H-804

AOA / ACGME

FOR

 

H-805

Participation in AOA ACGME Merger

????

???? STOP THE MERGER

H-806

Accepting AOA Board Certification in AOA ACGME Merger

???FOR AOA RECOGNITION AS EQUIVALENT

???STOP THE MERGER AS IT IS PROPOSED

H-807

AOA / ACGME

FOR

 

H-808

Single Graduate Medical Education Accreditation System

???? AOA DOES NOT HAVE THE CAPACITY TO DO THIS

??? STOP THE MERGER AS PROPOSED

H-809

Unified Graduate Medical Education Accreditation System

 

AGAINST

H-810

Support of Unified Graduate Medical Education

 

AGAINST

H-811

Creation of an Osteopathic Emphasis Track for the Unified Graduate Medical Education (GME) System

 

AGAINST: THE EDUCATIONAL REQUIREMENT STANDRDS ARE LOWER THAN THOSE OF A FULL TIME OSTEOPATHIC STUDENT. UNACCEPTABLE

H-812

AOA/AACOM Unified Residency Accreditation System

FOR

 

H-813

AOA/AACOM Single Accreditation System

FOR

 

 

DOsCOMITT – DOs Committed to Osteopathic Medicine Today and Tomorrow

Craig M. Wax DO corresponding author
Carlisle Holland DO
Dane Shepherd DO
Richard Koss DO
David Zeiger DO
George Watson, DO, Emeritus
Steven Horvitz DO
David Dornfeld, DO
Robert Maurer, DO
Albert Talone DO
Brad Kline, DO
Gina Reghetti DO
Michael Ward DO
Kelli Ward DO
Charles J. Smutny III DO, Editor

 

 

When will the ACOFP decide to start advocating for physicians?

Dr. Henwood:

I just read the email report about the future of physician payments:

Will you be discussing how performance measures takes time and energy away from patient care?

Will you be discussing how it is third party performance measures that you are endorsing which takes away from patient care and raises greatly the cost of business in a practice?

Will you be discussing how many physicians are terminating their contracts with insurers and working directly with patients to avoid the intrusions into patient care?

Will you be discussing how many physicians are planning to retire early because they are tired of dealing with third parties and just want to be physicians who treat their patients?

If you do not discuss any of the above issues then you are missing the boat.

As an Osteopathic physician, and as my father who was an Osteopathic physician before me, we did not go into practice to work for government or third parties.

When will the ACOFP decide to start advocating for physicians, instead of abdicating our authority and treatment choices to third parties?

I would be happy to discuss any of the above matters with you at any time.

Please call me at my office.

Dr. Steven Horvitz

henwood