So it’s time for another update on the National Board of Physicians and Surgeons (NBPAS) survey. There’s still only a handful of respondents, but the opinion is still pretty clear–doctors want an alternative to the traditional boards.
The comments are revealing and, after a while, redundant:
Respondents are from states across the U.S. and Canada.
A number of recent stunning developments make this issue important, in my opinion. So MOC does matter…in a way. The APA (ABPN-Letter (1)) and the ABPN (ABPN Letter to Diplomates) are now requesting Part IV of the MOC either be eliminated or made optional—either will make it go away because most of us would never choose to participate in the mind-numbing futility of the Performance in Practice (PIP) modules. ABMS is unwilling to give it up, yet says it’s up to ABPN to decide how to implement the MOC components (ABMS Letter To Diplomates). The ABPN suggests Part IV be optional but says it’s up to ABMS to authorize the change. The stalemate could frustrate diplomates for years to come, because even though ABMS is now for the first time asking for feedback from diplomates regarding MOC (and I encourage all physicians to do so), I doubt their sincerity about working with American doctors.
This is where alternative boards come in and the National Board of Physicians and Surgeons (NBPAS) is a newly established organization which might work, especially if ABMS doesn’t budge on the Part IV issue. It doesn’t require participation in MOC but it’s a grass roots movement which needs a lot of support from doctors and validation from third-party payers and hospitals, but had enough high-profile physicians in it at its inception to force ABIM recognition of it as a viable alternative board.
So here’s the Geezer’s Dirty Dozen on the MOC as it stands so far as I know. In order to see the picture galleries of photos or powerpoint slides, click on one of the slides, which will open up the presentation to fill the screen. Use the arrow buttons to scroll left and right through the slides or up and down to view any annotations.