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    Your Voice: MOC is wrong. Period

    would like to add my comments to those of my fellow physicians who rightly questioned the value of maintenance of certification (“Docs fix MOC, physicians question value of process,” July 10, 2017).

    MOC cannot ascertain how well physicians connect with their patients on an emotional and social level. Many go the “extra mile” in advocating for them with private insurers, Medicare, pharmacies and medical supply organizations.

     

    RELATED READING: MOC is a farce ripe for repeal

     

    MOC cannot measure the efforts of doctors who make the occasional house call, or hospital or [extended care facility (ECF)] visit even though they no longer take care of hospital or ECF patients—and don’t charge any fee. This has particular relevance for primary care doctors.

    MOC cannot measure how much time doctors spend being good citizens of medicine by participating in state and local medical society meetings or writing letters to the editor of local newspapers defending patients and physicians against the intrusions of insurers.

    MOC cannot measure the efforts that doctors spend trying to move tort reform forward by participating in the advocacy efforts of their medical societies.

    MOC cannot measure how much doctors participate in the activities of their hospital medical staff and committee meetings.

    MOC cannot measure if doctors consult specialists in a timely fashion or how well they collaborate with their consultants.

    MOC cannot measure if doctors report the findings of CT scans and lab tests in a timely manner or how quickly doctors answer their phone calls or how long patients have to wait for an office visit.

     

    Maintaining certification: Gold standard or is luster tarnished?

     

    Doctors who have recertified believe that if they went through the process everyone should. This is a serious internal problem.

    The word “certified” is a misnomer. It wrongly confers or implies a legal status and gives the American Board of Medical Specialties (ABMS) immense power that they never were given. Those who pass the test should be called “diplomates.”

    Next: "MOC stigmatizes good doctors"

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    • [email protected]
      I agree. MOC is not necessarily reflective of our day to day practices, timely communications, our extra unpaid time advocating for our patients, discussing with specialists before we even refer. Some of our colleagues confer and advise PCP before we refer as some of us PCPs are habituated and interested in narrowing the diagnosis by performing the workup, then referring to specialist if necessary. We take the time to describe to radiologist only to sometimes have referring office staff and receiving radiology office staff remove important info for radiologstnto determine diagnosis , some of us even write the differential diagnosis on our order sheet, but it is not convey to the consultant. That is our knowledge in action. Not MOC. By the time we write the Boards info in Medicine has changed.

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