Oppose MOL Resolution Adopted by IMS House of Delegates in Iowa




Resolution 13-01: James Amos, MD and

                                   The Iowa Psychiatric Society

                                   Opposition to Maintenance of

                                   Licensure (MOL)

Copied from the Reference Committee remarks:

Discussion of the resolution highlighted the duplicative nature of Maintenance of Licensure (MOL) for those physicians who must currently complete Maintenance of Certification (MOC) as a condition of their board specialty. In addition, testifiers emphasized the lack of data supporting MOL as a mechanism to improve patient outcome and drive quality of care. There were reservations expressed concerning the broad nature of the opposition called for in the resolution and the need for flexibility when working with the Iowa Board of Medicine.

Recommendation: The Reference Committee recommends adoption of the following substitute resolution.

Resolved: That the Iowa Medical Society supports the continued lifelong learning by physicians and the improvement to quality of practice; opposes the institution of Maintenance of Licensure for those who are board-certified and/or maintaining relevant CME and peer-reviewed quality of practice and/or participating in Maintenance of Certification; and opposes further Maintenance of Licensure for all other physicians without sufficient supportive data demonstrating that the Maintenance of Licensure supports patient outcomes and improves quality of care.

Mr. Speaker, I move adoption of this substitute resolution…motion carried.Amos at IMS House of Delegates

So the big news on April 21, 2013 at the IMS House of Delegates meeting at the Report of the Reference Committee on Reports of Officers/Bylaws/Miscellaneous Business was that our resolution to oppose MOL was adopted, as you can see. There was never any substantive opposition and the “ayes” had it. The outgoing President of the Iowa Medical Society, Dr. Robert Lee, MD and Speaker of the House, Dr. Paul Mulhausen, MD made excellent suggestions to amending the resolution, which I recommend to anyone else who might be considering a similar proposal to their state medical society (see original resolution in yesterday’s post, IMS House of Delegates Reference Committee Discussion on MOL Resolution Today in Iowa – The Practical Psychosomaticist).

Just to reiterate from yesterday’s post, my next step is a telephone conference with the Iowa Board of Medicine on April 25, 2013.

IMS program Shape Your Future 2013Again I thank the IMS for hearing me and for their vote affirming the resolution. I also learned something from today’s session. I learned about how it’s very important to bear in mind not just my goals for improving the health care system, but how it fits with the larger organizational goals. There were plenty of presentations about that at this very meeting. Although I didn’t hear her speak in person, Dean of the University of Iowa College of Medicine, Dr. Deb Schwinn spoke about “The Future of Medical Student Education”. I think it might have been similar to the video of her recent address on the state of the college, Vision for Iowa College of Medicine, 2013: Dean Debra Schwinn – The Practical Psychosomaticist. The special remarks by AMA representative Dr. David Barbe, MD lent context to the opposition to MOL in light of the growing concerns generally about the governmental and regulatory climate which complexifies but does little to enhance the doctor-patient relationship.

I almost forgot to mention that the first person who suggested the need for more flexible language (followed closely by Dr. Paul Mulhausen, MD, Speaker of the House) in the resolution yesterday during the Reference Committee discussion was a distinguished-looking gentleman wearing a medallion.  I remember thinking to myself, “Why the medallion?” Because I’d never been to an IMS meeting before, I didn’t know that the medallion is what the current President of IMS wears. In this instance, it was outgoing President, Dr. Robert Lee, MD. I’m indebted for his reminder that, while it’s important to pursue the ideal, it’s good to be practical about the political realities relevant to that pursuit as well.

I have a few other remarks about the 2013 IMS House of Delegates meeting, the motto for which was, appropriately, “Shape Your Future”.The doctor-patient relationship was highlighted in a very moving way by IMS President Elect, Dr. Victoria Sharp, MD, who looked like she got a little choked up during her exquisitely crafted acceptance speech containing reminiscences of her role model general practitioner who inspired her to be a doctor. She quoted John C. Maxwell: “People don’t care how much you know until they know how much you care”. Dr. Sharp reminded us of the importance of acting rather than being acted upon in this age of so many economic and regulatory forces influencing our health care system. And outgoing IPS Dr. President Robert Lee, MD showed his heart when passing the IMS presidential medallion to her. Medical students in the audience were no doubt inspired by the memorable scene. I know I was.

 Before the IMS meeting, I felt as though I had been standing alone, but I came away with a sense of connection to fellow doctors today.