Physicians Practice Article on MOC

Dr. Arvind Cavale, an endocrinologist, has some on-target remarks about Maintenance of Certification (MOC) in the Physicians Practice article in the Tweet with link above. No patient has ever asked me about my certification status either. The recertification exams we have to sit for are bad enough, but they’re tied to a lot of other burdensome busywork which does nothing but interfere with my work as a consulting psychiatrist.

How about peer review? I am just now starting to receive peer review checkbox forms from last year. There is no genuine feedback, just check marks indicating that I’m doing fine. I get more out of informal conversations with my colleagues over a cup of coffee or participating in my Clinical Problems in Consultation Psychiatry (CPCP) conferences–which are often led by medical students.

The MOC modules are time-wasting busywork which I can do without. The problem is that participation in MOC is now tied to reimbursement from the Centers for Medicare and Medicaid Services (CMS) via the Affordable Care Act, tied to hospital privileging, tied to approval for inclusion on insurance panels, and may even be tied to our medical licenses via the Maintenance of Licensure (MOL) proposals for all state medical boards if the Federation of State Medical Boards (FSMB) has its way.

How many patients out there are even aware of what MOC is? This post with the link to the Physicians Practice article is one place to start learning about it.

Let me know what you think. In my opinion, MOC and MOL are frustrations which do not help me to be a better doctor. I have enough to do, already. Take this load off me, please.

 

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