Wisconsin Not On Board with Federation of State Medical Boards MOL?

The Federation of State Medical Boards (FSMB) has promulgated  Maintenance of Licensure (MOL) in 11 states including Iowa, Ohio, Wisconsin, California, Colorado, Delaware, Massachusetts, Mississippi, Virginia, Oregon, and Oklahoma (see one of my latest posts for background, Dr. Amos’s Dirty Dozen on MOL in Iowa – The Practical Psychosomaticist. MOL was defeated in Ohio, and my resolution (co-sponsored by the Iowa Psychiatric Society) to oppose MOL was adopted in late April 2013. MOC and MOL have been challenged in other states as well, with resolutions adopted opposing them in Michigan, North Carolina, and New York.

I searched the web sites of the Wisconsin Medical Board and the Wisconsin Medical Society recently. I could not find support for Maintenance of Licensure (MOL). In fact there were two Wisconsin Medical Society 2012 House of Delegates (https://www.wisconsinmedicalsociety.org/about-us/governance/annual-meeting/2012-annual-meeting/2012-hod-meeting-materials-and-resolutions/) resolutions essentially opposing MOL in Wisconsin:

https://www.wisconsinmedicalsociety.org/wp-content/uploads/2012/08/Resolution_208_Maintenance_of_Licensure.pdf  (WMS Resolution 208-2012 to Oppose MOL)

https://www.wisconsinmedicalsociety.org/wp-content/uploads/2012/08/Late_Resolution_210_Maintenance_of_Licensure.pdf  (WMS Late Resolution 210-2012 not in support of MOL)

https://www.wisconsinmedicalsociety.org/wp-content/uploads/2012/08/Resolution_201_Costs_of_Assessing_Clinical_Competence.pdf  (WMS Resolution 201 arguing caution against accepting MOC and MOL in their present forms and highlighting the potential risk for “…aggravating the shortages of physicians in critical specialties through making it more difficult and expensive to continue to practice medicine”).

I also did an on-line search of the Wisconsin Medical Board Minutes on MOL since July 18, 2012, in which I could find no unequivocal commitment to MOL implementation pilot projects. I could find nothing  mentioned in any meeting minutes since then up to May 2013 when the minutes were first distributed in electronic form:

http://dsps.wi.gov/Documents/Board%20Services/Minutes/Medical/2012/MEB%2020120718%20FINAL.pdf. The relevant quote from this pdf of the July 2012 minutes follows:

“FSMB Matters/Maintenance of Licensure”

“Lance Talmage, MD, Humayun Chaudhry, DO, and Frances Cain, FSMB, gave a telephone presentation regarding maintenance of licensure and continuing education.

The Board has concerns with the FSMB’s proposed Maintenance of Licensure recommendations. Gene Musser stated the Board should not abdicate the responsibility of establishing CME’s. Tom Ryan stated a Readiness Inventory Survey can be created with the FSMB’s support. The survey would assess whether or not the Board and the Department are ready to pilot the MOL project and if resources are available.”

I could not locate any reference to a readiness inventory survey in subsequent meeting minutes. Other minutes of previous meetings barely mention MOL beyond announcements of the telephone presentation and the remark “…requires more discussion”:

http://dsps.wi.gov/Documents/Board%20Services/Minutes/Medical/2012/MEB%2020120620%20FINAL.pdf

http://dsps.wi.gov/Documents/Board%20Services/Minutes/Medical/2012/MEB%2020120516%20FINAL.pdf

My search of the home page for the Wisconsin Department of Safety and Professional Services, http://dsps.wi.gov/Home, returned no results for the term “Maintenance of Licensure” or “MOL”.

What is clear from my search is that Wisconsin physicians are definitely on board with the goal of improving safety and quality of medical and psychiatric care for the people of Wisconsin, judging from the Wisconsin Medical Society 2012 MOL resolutions and the endorsement of the NOW Coalition Performance in Practice (PIP) for Bipolar Disorder:

https://www.wisconsinmedicalsociety.org/professional/professional-development/pi/6957-2/

https://www.wisconsinmedicalsociety.org/_WMS/professionalism/professional_development/performance_improvement/pdf/NOW_worksheet_spring12_web.pdf

I believe what this shows is that Wisconsin and other states are all willing to work with the FSMB to create a practical working model of a continuing quality improvement program for physicians that could be tested and shown to improve patient care outcomes and which would not be unduly burdensome in clinical practice. As for the MOL in its present form…this train is probably not bound for glory and we ought not get on board just yet, http://www.youtube.com/watch?v=pI7r6j3LCgU.

“…And we must build a culture of humanistic clinical excellence.”—Jamos the Elder

“…And we must build a culture of humanistic clinical excellence.”—Jamos the Elder

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