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!!!
Paul Kempen, MD, PhD writes:
Now here is an answer to the whole ABMS extortion racket! Tell them to shove their programs where the sun don’t shine!
Urology Times published this physician’s critique of MOC:
“I successfully completed the original certification process and the subsequent recertification process, but enough is enough. The ABU has strayed far beyond its original mandate to ensure excellence in urologic training and has added yet another onerous burden onto the backs of practicing urologists.
The 2002 Physician Charter, which served as the foundation of MOC, is a flawed and disingenuous document that has one surreptitious purpose: to give specialty boards more power and control over their diplomates. How dare the ABU question my demonstrated commitment to lifelong learning! How dare the ABU attempt to lecture me on professionalism and ethics! How dare the ABU place the “benefit of the public” above the welfare of its diplomates! The “public” doesn’t pay the ABU’s expenses.”
Paul Kempen, MD, PhD writes: A distinguished senior VA physician/decorated Veteran gave me this set of pearls.
Government Solutions; AKA Dead Horse Theory:
Hard- won wisdom, passed from generation to generation, says that:
-When you discover that you are riding a dead horse, your best strategy is to dismount.
However, in our government more advanced strategies are often employed, such as:
- Buying a stronger (and more expensive) whip.
- Changing riders.
- Appointing a committee to study the horse for evidence- based solutions.
- Arranging trips to other countries to see how other cultures ride dead horses.
- Lowering the standards so that dead horses can be
- Reclassifying the dead horse as living-impaired.
- Hiring outside contractors to ride the dead horse.
- Harnessing several dead horses together to increase efficiency.
- Providing additional funding and/or training to increase dead horse’s performance.
- Doing a productivity study to see if lighter riders would improve the dead horse’s performance.
- Declaring that as the dead horse does not have to be fed, it is less costly, carries lower overhead and therefore contributes substantially more to the bottom line of the economy than do some live horses.
- Rewriting the expected performance requirements for all horses.
And of course….
13. Promoting the dead horse to a supervisory position.
The official journal of the International Anesthesia Research Society, Anesthesia and Analgesia has published Dr. Paul Kempen’s (M.D., Ph.D.) comprehensive review of “Maintenance of Certification and Licensure: Regulatory Capture of Medicine” in Vol. 118. No. 6, June 2014 edition.
CLICK HERE to read full article
A related CME activity can be found at https://cme.iars.org/a/7669P2qfFBt
I grew up in a blue collar inner city “broken home,” and worked continuously from age 14 onward. I paid my way through catholic high school and public university, learning German as a premedical prerequisite. Financial aid allowed me to go to Germany as a “Junior Year Abroad” student. I was admitted after 1 semester into a premier medical program of the Albert Ludwig Universität Freiburg, founded in 1457, completing my American Bachelor of Science in Biology in Germany over the next 3 semesters. I then traveled to New Zealand for medical externship for 6 months.
As a medical student, I was qualified to work as a nurse after completing a 2-month rotation in clinical nursing as required by my program. During my semester breaks, I often worked 11-hour shifts as a night nurse on the surgical ward. My record was 30 consecutive 11-hour night shifts. This work, along with periodic red cell and plasma donations, allowed me to finance my medical study in Europe.