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    Maintenance of certification: inside the physician revolt

    The frustration with maintenance of certification (MOC) has led some physicians to consider certifying with a new, alternative board—or opting out of recertification altogether.

    New York-based internist Jonathan Weiss, MD, says that until he and others pushed back, the American Board of Internal Medicine (ABIM) was adding more requirements for MOC and reducing the time intervals between them “every time I turned around.” Not only that, but “at no point did I feel the material being asked of me was terribly germane to what I did on a day-to-day basis,” he says. “The process is fatally and fundamentally flawed.”

    The outcry over proposed changes to MOC by the ABIM and many of the two dozen other boards that make up the American Board of Medical Specialties (ABMS) led in part to the creation a year ago of the National Board of Physicians and Surgeons. NBPAS bills itself as a lower-cost, lower-hassle version of the ABMS and its boards, with requirements that hew more closely to what doctors actually face in their day-to-day practices.

    Related: Doctors put MOC on blast

    NBPAS has been growing steadily, but its  membership is still modest. Still, its presence and the general frustration with MOC has led to a new set of questions: What happens to physicians who decide not to recertify with the ABMS boards—or decide not to recertify at all? Do they lose hospital privileges? Insurance coverage? And as a result, do they lose revenue?

    Next: First-hand experiences


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    • [email protected]
      "Disclosure: Though Board Certified through the American Board of Psychiatry and Neurology since 1997 I am electing not to renew Board Certification after 2018. The Board of Psychiatry and Neurology has implemented changes to their procedure of recertifcation that does not reflect my goals of delivering effective, affordable care. I am able to pass along the savings of not maintaining this designation to the public. My pursuit of life-long learning and self-assessment will remain unchanged. Thank you." sharonrechter.com
    • [email protected]
      How pathetic! CMEtoGO® 3-Year Bundle – 30% Discount! Subscribe to the CMEtoGO 3-Year Bundle today and your tuition cost is only $971, over $400 off the full tuition price of $1388. So, you receive a substantial discount (30%) AND eliminate three years’ worth of MOC hassles!
    • [email protected]
      Just passed my MOCk boards in abpn. But guess what! I'm not done... now I'm to pay equivalent of 1 hour wage yearly for next 10 years to police my record for Board approved courses- not the same ones I will use to update my medical license in order to maintain my Certification. 1 hour of hard earned money tending to sick patients, fights over approved medication, and filling out of numerous papers in an era of paperwork reduction! So what do I refer to myself if I chose not to follow these mandates- "board *decertified* or board uncertified after these next 3 years pass? I just got my new business cards from Vista print.

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