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Why MOC Unites Physicians in Fury

Why MOC Unites Physicians in Fury

  • ©pathdoc/Shutterstock.com
    ©pathdoc/Shutterstock.com

You can put 50 physicians in a room and there is not a lot they'd universally agree upon — the Affordable Care Act (ACA), the role of advanced practice practitioners, or even the weather. Everyone has an opinion.

But there is one thing that seems to get almost everyone up in arms: maintenance of certification (MOC). The program from the American Board of Internal Medicine (ABIM) and American Board of Medical Specialties (ABMS), which is often required by insurance panels, hospital staffs, and licensing boards, does not have many defenders in the physician community — save for a few. Across the country, physicians are leading the charge to try and get state legislators to overthrow rules requiring MOC.

What is it about MOC that gets physicians so fired up? We asked some of its more ardent critics and even had one doctor defend it. Here's what they had to say.

Click here to download a PDF of this slideshow.

 

Source: 
Physicians Practice

Comments

Ripoff

Roy @

In the great states of Texas and Oklahoma, we told MOC, "You're fired." It is just a matter of time till this bunch of crooks is sent packing everywhere else.

David @

This is like living in New Jersey, having to pay more taxes on your home because you improved the neighborhood by renovating. its like working for the MOB... protection money. ABIM/ACP are spending OUR $$ to pay their lobbiests to pass LAWs that force us to pay for their exams, so they can pay for their lavish lifestyles. This is such a scam. i cant believe this crap. Doctors are nothing more than minions. We have to take back medicine from the crooks.

Brandon @

Extortion Extortion Extortion
Mafia Mafia Mafia

Anonymous @

I am sure ABIM admin staff r reading this opinions and so do hosp admin. Still ABIM is in denial because of greed , I am sure they have big pockets to feed senators and congress personal,they need to be investigated by FBI/ IRS.They Have stopped most private physician who were preparing for boards, and want only those specific group r allowed who work under there umbrella.
This will make DREXIT in this country.
First time I have seen young physician from family practice going to Newzeland and Australia, and soon start going to Canada.

sajid @

I am sure ABIM admin staff r reading this opinions and so do hosp admin. Still ABIM is in denial because of greed , I am sure they have big pockets to feed senators and congress personal,they need to be investigated by FBI/ IRS.They Have stopped most private physician who were preparing for boards, and want only those specific group r allowed who work under there umbrella.
This will make DREXIT in this country.
First time I have seen young physician from family practice going to Newzeland and Australia, and soon start going to Canada.

sajid @

I am sure ABIM admin staff r reading this opinions and so do hosp admin. Still ABIM is in denial because of greed , I am sure they have big pockets to feed senators and congress personal,they need to be investigated by FBI/ IRS.They Have stopped most private physician who were preparing for boards, and want only those specific group r allowed who work under there umbrella.
This will make DREXIT in this country.
First time I have seen young physician from family practice going to Newzeland and Australia, and soon start going to Canada.

sajid @

I am sure ABIM admin staff r reading this opinions and so do hosp admin. Still ABIM is in denial because of greed , I am sure they have big pockets to feed senators and congress personal,they need to be investigated by FBI/ IRS.They Have stopped most private physician who were preparing for boards, and want only those specific group r allowed who work under there umbrella.
This will make DREXIT in this country.
First time I have seen young physician from family practice going to Newzeland and Australia, and soon start going to Canada.

sajid @

I am sure ABIM admin staff r reading this opinions and so do hosp admin. Still ABIM is in denial because of greed , I am sure they have big pockets to feed senators and congress personal,they need to be investigated by FBI/ IRS.They Have stopped most private physician who were preparing for boards, and want only those specific group r allowed who work under there umbrella.
This will make DREXIT in this country.
First time I have seen young physician from family practice going to Newzeland and Australia, and soon start going to Canada.

sajid @

Just put up acceptable c me for each specialty

That also satisfies state licensure requirements and be done

Jeffrey @

I practice in the field of pediatric critical care and I am certified and have recertified twice. When I asked one of my adult critical care colleagues how his board exam went, he said it represented patients and problems that he faces every day, e.g.. heart failure, pulmonary embolism, renal failure, etc. In pediatric critical care exam, there is heavy emphasis on post-op congenital hearts, ECMO, renal replacement therapies and other highly technical interventions, not to mention a ridiculous number of questions on medical statistics. I do not work in a tertiary children's hospital. I provide pediatric critical care in my community and surrounding geographical area, keeping children alive so that they can survive long enough to get the the tertiary center, as well ask caring for those that I can manage locally, without having them travel 250 miles. I have not done post-op hearts in 20 years. I have never done ECMO. It is unfair to test me in a heavily biased manner, that represents what the board thinks I should be doing. They do not know what I do, and they do not care what I do. A compromise should exist that if you certify initially and recertify ONCE, then you are granted lifetime certification with no further testing required. I could live with their other inane requirements.

Reuben @

AGREED,WELL STATED

doc @

Amen! Do away with MOC. Glad to see it called what it is. . . . extortion.

Craig @

I feel like I'm in a constant state of recertification.

Christel @

Its a good gig for the societies which administer the MOC's. They get to harvest regular $ from actual working stiffs, and think up arcane rules to demonstrate their superiority. Remember, the principal beneficiary of any regulatory design are the people who administer the regulations !!

Bruce @

This entire process is redundant and superfluous. If you want to see how doctors feel, suggest to the ABA that all lawyers retake the bar exam once every 10 years as a requirement for maintaining a law license.

Gregory @

Agree 100% Redundant, Superfluous. Waste of time and money. Irrelevant.

Anonymous @

Have been in IM for 30 years. My hopes of doctors unifying for what is best for the care of their patients and their careers is gone. I learned a long time ago that physicians will never be unified because with multiple specialties we all have different goals. That is why we are in the situation we're in with others controlling our field. If we spoke with s strong, determined, and unyielding voice, we could control our destiny. Tha AMA dropped the ball along time ago.

R. Maurice @

We have to have a certain amount of CME EVERY year to keep one's state license
This MOC is more of a money making scam. It does not make one a better doctor.
My thought is that is one had to do MOC of a regular basis, then scrap the exam.

We need to unite to form a united front to address these different organizations that a basically ripping off $$$ because we have no choice.

Haresh @

I found this issue adversive after I read the requirements. I am 1 y before i am required to take the exam but it is 6 mo because I have to complete all the requirements. I founded expensive and tricky. If the boards really wants the diplomates to get recertified they have to make it affordable. They have to make it easier for the MDs that are in a full practice and have multiple responsibilities.

Ana-Z @

Why not just do away with the certification process, period? It is such a pain in the butt process. I failed my orals once by one case and have been struggling since to pass them. I am so busy in my present job that I don't have a whole lot of time to prepare for my orals. I have been taking care of patients and operating on them for some time with good outcomes.

The oral boards organization have been steadily increasing their fees. This is ridiculous! It is as if I'm a cash cow for them! Something should be done to get rid of the certification process or revamp it!

Craig @

Doctors work very hard all their lives and when they are experienced and want to have a family a controlling administrator poses the board re-certification theme and denies them privileges WITHOUT ANY REGARD TO EXPERIENCE, REPUTATION, OR SKILL IN PROCEDURES. Many of us have more than one board. Lawyers do not recertify their bar exam. ALL ADMINISTRATORS CARE FOR IS CONTROLLING THEIR PAID MD's, THEIR OWN SURVIVAL AND POCKETS, AND NUMBERS.

Athanasios @

MOC from outside looked by outsiders it makes sense. But insiders (the doctors affected by it), find this more a business or income producing source for Universities and their academic stars who probable pushed their friendly politicians to create this law because they are , along with hotels and airline companies the direct beneficiaries . Year through year they teach the same thing after a while it feels like a waste of time and money.

Alfonso @

What is folly to me is the idea that the specialty boards can develop periodic assessments which are as relevant as self-learning that physicians do *every* day... that they do in response to *real* patients that they are seeing every day.

In two months of reading UptoDate articles about the diagnosis and management of my patients problems, I have completed over 100 CME hours... on patient issues that matter TO MY PATIENTS every day. Not some random artificial clinical scenario with some awkward, confusing web based clinical simulator.

Brad @

It seems folly to me to think that a physicians skills never degrade and as such periodic assessment is not indicated. The problem with the current system is that it is not practice specific and offers no options to identify areas of weakness and allow physicians to improve them.
I think Canada has such a system where the individual physician's practice is assessed and areas of weakness are identified with recommendations on how to improve.
The data is compelling that after age 50, retention, etc starts to fall off and the physician who's dedicated to patient care should aspire to maintain his/her skills

Russell @

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