Keep Your Eyes on The Pennsylvania Medical Society Debate on MOC

cropped-dr-jim-amos-md.jpgI ran across this post from the Pennsylvania Medical Society (PAMED) and I thought I’d share it. Note the opportunity for readers to share opinions below the post. It’s a survey and I shared mine. At the time (which was this morning) there were only 3 responses. Click on the image to expand it to full screen.

PAMED survey responses 2014


Just in case readers may not be able to access it, I’d like you to see my response, which was as follows:

“I agree completely with the PAMED initiative and wish good luck to Pennsylvania physicians.

I have introduced resolutions to the Iowa Medical Society to support the principle of lifelong learning and oppose both MOC and MOL, which were both adopted. For now the Iowa Board of Medicine doesn’t think MOL is needed.

However, the ABMS and FSMB are driving this and I wonder whether they listen to rank-and-file doctors.

James Amos, MD”

Looks like you could sign in with a Google account to see updates the survey results. Remember; a watched pot never boils. The response rate is pretty low so far, and the final rate may be comparable to Iowa physicians’ response to the Iowa MOL Acceptability Survey results, which was only 22%.

I also want to help spread the word about the Philadelphia County Medical Society’s upcoming debate,

Is Maintenance of Certification (MOC) Needed and Appropriately Constructed for Success?

which will be about MOC in December, with featured speakers, Richard Baron, MD, President and Chief Executive Officer of ABIM and Charles Cutler, MD, Immediate Past Chair, Board of Regents of the American College of Physicians.

The document which would give you the best idea of the groundwork for the PAMED initiative on MOC is in the Action Report of the MOC Task Force. I wonder what kind of response they’ll get to their survey:

MOC Survey Draft PAMED


The MOC issue was a big part of the PAMED annual meeting. The House of Delegates sent a strong message:

“2014 House of Delegates Actions: As a result of deliberations at the 2014 House of Delegates, PAMED’s already robust agenda for the coming year will add important issues such as: Maintenance of Certification (MOC) — Ask the American Medical Association (AMA) to: Work with the American Board of Medical Specialties (ABMS) to eliminate practice performance assessment modules as currently written from the requirements of MOC. Develop and disseminate a public statement, with simultaneous direct notification to the American Board of Internal Medicine (ABIM) and other ABMS sponsoring boards, that their current MOC program appears to be focused too heavily on enhancing ABIM revenues and fails to provide a meaningful, evidence-based, and accurate assessment of clinical skills. Investigate and/or establish alternative pathways for MOC. Report back to the House of Delegates at the Annual AMA Meeting in June 2015. The PAMED Board was asked to study a recommendation to then ask the AMA to revoke its support for MOC if no action is taken by the ABMS in working with the AMA to make MOC requirements less onerous. PAMED will continue to support efforts to create a reasonable and economical assessment process that provides physicians with the information necessary to improve the quality and efficiency of their practices. – See more at:”

I’m a big advocate for MOC reform and I like what I see coming from PAMED. What I would like to see more of is direct participation by doctors, young and old, engaging in this process with their respective state medical societies so that we won’t have to keep massaging each others hearts about the flaws of MOC. I would also love to hear how all of this energy is going to bring substantive change to the way the ABMS and the FSMB dictate how the rest of us embody the principle of lifelong learning in our everyday practices.

Titanic-deck-chairs-symbolism-lives-on-691492FG-x-largeOtherwise this is all just rearranging deck chairs on the Titanic.

Abbreviation Key: ABMS=American Board of Medical Specialties; FSMB=Federation of State Medical Boards; MOC=Maintenance of Certification; MOL=Maintenance of Licensure

Basic Background on MOC:

TCPR May 2013

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