Question 31 on Maintenance of Licensure Physician Survey

The humorous YouTube video above is from a meeting last spring held by the Association of American Physicians and Surgeons (AAPS) on Maintenance of Certification (MOC) and Maintenance of Licensure (MOL), the latter of which is what I’m going to focus on in this post. It’s funny, but in an ominous sort of way because the content including dollar figures are reflections of a sobering reality about MOC and MOL.

I don’t agree with most of what the AAPS stands for or does. However, I agree with the organization’s stand against MOC and MOL and you can view my own presentation:

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If you need a primer for MOC and MOL, I think I’m allowed now to post my article on the basics of these processes which was originally published about a year ago in TCPR May 2013. And you can review my other presentation as well for background.

There is a sample proposal for anti-MOC and MOL legislation in an article which I have considered sending to my state congressmen. This kind of legislation is mentioned in the video above.

The IMS Executive Vice President sent me a message last year saying “We respect and applaud your advocacy…” The IMS assures me that they are watching the MOL issue closely and will encourage the membership to complete the Physician Acceptability Survey on MOL, a critical step in the implementation pilot projects Iowa has chosen to undertake in partnership with the Federation of State Medical Boards (FSMB). As we now know, that survey will include Question 31, which is an invitation to open comments which can include whether or not licensees favor MOL in Iowa.

As I’ve said publicly many times, in my opinion, MOL could hurt recruitment of physicians to Iowa because it’s widely known that many thousands of doctors love lifelong learning but don’t believe processes like MOC and MOL help us achieve that. There is no high-level research showing that MOC improves patient outcomes and no evidence-base supporting MOL. There are petitions you can consider signing at links,

If you need a primer on MOC and MOL in order to help you answer Question 31, you can view at this link TCPR May 2013, which was published well beyond 6 months ago, long enough that I think the copyright restriction against my using the work in any way I wish no longer applies.

That survey will likely be sent to doctors by email link next week.  I considered writing a short anti-MOL boilerplate for readers to copy and paste into Question 31, but I thought better of it. It is far more preferable for physicians to write in their own words how they feel about MOL in Iowa.

“…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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