Continuous Improvement

I recently read a post from Psych Practice blogger about a new board, the National Board of Physicians and Surgeons.

I’ve also been notified of the efforts of a Harvard neurologist to persuade the American Board of Psychiatry and Neurology to simplify the Maintenance of Certification (MOC) process. Dr. Paul Mathew is promoting a petition, which you can access at the link in the tweet below:

I think these efforts represents what most physicians stand for–continuous improvement. As a group many doctors, including me, believe the MOC leaves much to be desired as a vehicle for professional self-development and lifelong learning.

What I think is very helpful from the National Board of Physicians and Surgeons (NBPS) are the creation of pathways to spread the word about the rationale for creating alternatives to the American Board of Medical Specialties (ABMS).

Those in the vanguard of change, meaning physicians like Drs. Paul Teirstein and Paul Mathew, are reaching out to all doctors, especially the next generation of physicians who will have to cope with the increasingly burdensome regulatory burden and wasteful busywork that the present-day boards inflict on hard-working, dedicated physicians who are contemplating early retirement in reaction to the growing MOC pressures that do not improve patient outcomes.

In fact, I’ve been thinking about retirement myself and this is promoted by certain pieces of mail I’ve been getting fairly frequently in recent years.



I sometimes wonder whether I should form a new organization: The American Association of Imminently Retiring Geezer Physicians & Surgeons Grumping About the MOC and Other Satanic Administrative Bullyragging from Greedy Clueless Bureaucrats Headquartered in Las Vegas Where They Fritter Away Our Certification Fees on Wine, Women, and Song, Laughing Like the Chuckleheads They Have Become After Drinking from the Trough of Power and Corruption the Ne’er Do Wells, Jail Is Too Good for Them, Why Just Give Me Ten Minutes That’s All I Ask, I Was Golden Gloves I Tell You Until That Sucker Punch in the 8th Round in Spokane Are You Going to Play Your Cards Or Just Nibble On Thuringer and Day Old Sticky Buns? $2500 Dollars I Spent on the MOC Exam In That Warehouse Where the Demonic Invigilators Snickered During the Strip Search and Deliberately Tapped Their Tasers on the Glass Window While I Tried to Concentrate and Oh Don’t Get Me Started on the Infernal Performance in Practice Horse Hockey, Why I…

I guess I’d have a slight problem with the Letterhead design.

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