Will our grassroots effort succeed? Being pessimistic, I doubt it, at least not without the support from our professional societies.
I have urged our professional society to take a stand and help (see the letter below). Not showing in this email are suggestions such as working with alternative board certification entities, which was communicated in previous emails.
ABIM has scheduled an Internal Medicine Summit on Sunday, April 12, 2015. EVERY specialty society will be there. Doctors, please email your specialty leaders and tell them your opinion on MOC. It is time for all professional societies to act on behalf of their members, to say No to MOC, to stop the abuse, to break ABMS/ABIM's monopoly, to restore the sanity, and to fight to give us back the time with patients.
I am sure at this point you have read the new report on how the ABIM has been applying creative accounting and deceptive lobbying practices to coerce additional funding by mandating physicians into the yet-to-be-proven-effective MOC.
I hope the outrage, frustration and helplessness of all physicians in this situation will not be overlooked by the ASN and other societies. The facts uncovered by the Newsweek editorial should put yet another nail in the coffin of the ABIM, further eroding its credibility and trust with physicians. On this basis, it is imprudent to continue working with ABIM on any MOC activity.
Therefore, I would suggest that the ASN consider the following actions:
any MOC program currently initiated by ABIM.
is a perfect example of “conflict of interest”: the ABIM is a credentialing
organization that is promoting more testing. As the editorial so
eloquently describes, MOC is merely a fig leaf to conceal their spending
extravaganzas, creative accounting tricks, and deplorable state of their
has never been proven to be beneficial, even by ABIM’s own “study”. There
is no difference in the care delivered by grandfathered physicians and
those with time-limited certificates. At least 10 countries have better
healthcare with better outcomes, lower costs, and, yes, no requirements
for MOC. Thus, there is no ground
for mandating MOC in the name of “competency”, and furthermore it is a waste of
resources to continue to collect more data on the putative utility of
MOC. I would urge you to stop
saying that “more data is needed” and recognize that no further studies
are indicated. We must stop MOC NOW.
the ASN from ABIM
has become a corrupted organization that might be subject to further
has been distancing itself from physicians. The fact that they state and
they are “listening” while all comments left on their blog
has been completely deleted says it all. They lied to physicians about
its spending and its intentions behind MOC. As a result they have lost
the respect and trust of rank-and-file physicians.
should not be setting standards for quality, value, or professionalism.
It is completely inappropriate that only the ABIM has set MOC as the
single standard for physician competency, and appalling that the ABIM MOC
program has turned physicians into easy targets as an explanation for our
dysfunctional health care system. In a sense, ABIM, ACP, and the AMA have
all failed physicians as our representatives.
should take over the role of certifying and educating Nephrologists.
certification plus yearly high quality CME should be sufficient.
already has strong education programs available.
care is the best all-around way of self-education and improvement
is a continuous process with wide varieties to meet physician needs. If
the same CME works for physicians from other countries, the problem is
not CME. There is absolutely no need to “create” a “continuous MOC”.
- Please work on removing mandatory MOC from every bill or law, the ACA, the Interstate medical licensure compact, HR 2, etc. The national and political encirclement of these legislative bodies by the ABIM is deplorable, and underscores the extents to which the organization has gone to protect its economic interests.