A Lot of Floors to Sweep

I recently ran across the American Legislative Exchange Council (ALEC) resolution opposing model legislation opposing Maintenance of Licensure (MOL). The Patient Access Expansion Act is connected to several other features of the movement to support the principle of lifelong learning and oppose Maintenance of Certification (MOC), not by coincidence.

The model legislation actually was first written by Dr. Ken Christman, MD, who is a member of the Association of American Physicians and Surgeons (AAPS). The original article is at this link. The AAPS is also pursuing a lawsuit against the American Board of Medical Specialties (ABMS) regarding antitrust violations regarding MOC.

I originally found the ALEC model legislation at the Change Board Recertification web site.

I’m well aware of another kind of connection, which is a group opposed to ALEC, ALEC Exposed.

Is it a coincidence that corporations all seem to be at the bottom of what appears to be a drive to pervert the role of doctors to cogs in a giant wheel and control us?

I don’t pretend to understand this complexity. I’m doing what I can to support lifelong learning in my everyday work in an academic medical center. I’ve sponsored a resolution to oppose MOL in Iowa, which was adopted in 2013 by the Iowa Medical Society (IMS) House of Delegates. Now that the IMS has moved from the House of Delegates format to a new process to set policy which engages all IMS members, I’ve introduced a new resolution (which, under the new model, will be called a Policy Request Statement). It has been officially submitted by IMS and in early August of this year, IMS will send out the Policy Request Statement to the entire membership.

My Policy Request Statement will be an adaptation of the resolution opposing MOC recently adopted by the South Carolina Medical Association. This resolution specifically opposes mandatory maintenance of certification for licensure, hospital privileges and reimbursement from third party payers. Following discussion the Policy Request Statement could be approved, rejected, or tabled pending review by a specially appointed committee. That decision could be as soon as September 18, 2014.

I’ve tried to outline the pieces to this dizzying, byzantine puzzle in which MOC and MOL are major components in a previous post. This was my minor league attempt to show the relatedness amongst several parts of the health care policy and medical practice structure.

And then there is also the the Accreditation Council for Graduate Medical Education (ACGME) Milestone Project, which is really just an extension of the MOC into resident training programs.

guitar weepingThere’s a lot of floors to sweep here. And to whom should we entrust the broom?

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