Nowhere to Hide from the MOC

This morning after I shoveled the mountain of snow the city plow pushed on our driveway, I saw this great post about the Maintenance of Certification (MOC) recertification exam by Psych Practice blogger. It’s tough to know how to study for it and it’s just one of the many controversial components of the MOC process which the American Board of Medical Specialties (ABMS) inflicts on doctors via the specialty certification boards including the American Board of Psychiatry and Neurology (ABPN).

I had never heard of the Montillation of Traxoline until I saw the post and then I looked around the internet and found a bit more about it which may help flesh out the point for patients who need to know more about what the MOC cannot do for them–establish and maintain a close working relationship with doctors who dig through the medical literature every day on their behalf–and listen to them in order to individualize health care goals and maximize safety.

That kind of reflection has to come from the inside out and cultivating clever test-taking “skill” is a distraction.

I’ll have to take the recertification exam in general Psychiatry soon enough. I guess there’s nowhere to run and hide.



  1. I learned about traxoline from a friend who teaches college biology, and frequently complains that her students have been trained to answer questions, but have no idea what they’re talking about, and don’t know how to think.

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