Form Letter to Oppose MOC and MOL by PsychPractice and Dr. Jim Amos

This is an excellent form letter made by (based on a couple of rambling letters I wrote) psychiatrists can use to send to the American Psychiatric Association and the American Medical Association to respectfully urge these organizations to support the principle of lifelong learning and oppose Maintenance of Certification and Maintenance of Licensure:

I am a _________ psychiatrist practicing in ____. Recently, a resolution was adopted in Iowa to support the principle of lifelong learning and to oppose Maintenance of Licensure (MOL). It was sponsored by Dr. James Amos and co-sponsored by the Iowa Psychiatric Society. Similar resolutions have been adopted in Wisconsin, Ohio, North Carolina, Michigan, New York, New Jersey, and most recently, Florida. The Florida Medical House of Delegates resolution also included opposition to Maintenance of Certification (MOC). They also recommended that the American Medical Association (AMA) adopt a similar resolution for national consideration.

According to David Pittman, author of the article “AMA Will Debate MOC, Guns, and the ACA” in the Medpage Today on-line article on June 13, 2013 covering the June AMA annual meeting, the AMA covered MOC proposals “…that could put the AMA at odds with the powerful American Board of Medical Specialties.” One resolution that was up for debate “would authorize the AMA to advocate against time-limited certification and oppose discrimination against physicians who are not certified in MOC programs.” The article also mentioned a separate resolution describing the MOC program as costly, time-consuming, and results in significant disruptions to the availability of physicians.

A third resolution sought to add transparency to the ABMS by having the AMA call for the organization and the 24 specialty boards to release detailed reports on revenue, expenses, and salaries of senior staff and board members. The antitrust lawsuit filed by the American Association of Physicians and Surgeons (AAPS) called the MOC programs “a money-making, self-enrichment scheme.”

I am asking the AMA House of Delegates to consider putting this issue of an AMA HOD resolution opposing MOC and MOL on the agenda at their next scheduled interim meeting November 16-19, 2013 in Gaylord National, National Harbor, Md. This is in keeping with the article in the July 1, 2013 issue of American Medical News about the American Medical Association (AMA) House of Delegates directing the AMA to evaluate how Maintenance of Certification (MOC) processes “can be burdensome” to doctors (See:

Please lead the many thousands of doctors who believe in lifelong learning and continuous improvement in patient care and who do not believe that MOC and MOL serve patients.

This letter represents my own opinion and not necessarily the opinion of my employer.


I mailed the AMA letter to the House of Delegates email address first, (at link The HOD passed me to SueAnn in the AMA Council on Medical Education, It seemed to me that there were some issues with who’s really accountable for questions about resolutions. SueAnn says the Council on Medical Education advises the HOD, but it’s actually the HOD which drafts resolutions.

I sent the letter to the APA by way of the email address at link,


If you have any updates on better places to send the form letter, please let me know.



  1. What are the AMA and APA addresses that you mailed your letters to?


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