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Okla. first state to remove MOC requirement


Oklahoma has become the first state to enact a law  to remove maintenance of certification (MOC) as a requirement for physicians to obtain a license, get hired and paid, or get hospital- admitting privileges.

Medscape reported that Kentucky’s governor has signed a more limited measure that prohibits making MOC a condition of licensure.

Similar laws are proposed in other states as the  rebellion against hated MOC programs operating under the American Board of Medical Specialties (ABMS)  becomes more intense. Physicians have long complained about the cost in time and money of these programs.

Internists and internal medical subspecialists have been the fiercest critics, protesting that the MOC program of the American Board of Internal Medicine (ABIM) in particular wastes their time and money and does little to nothing to improve their patient-care abilities.


MOC about to be even more hated



The American Board of Internal Medicine (ABIM)’s changes to its  widely detested maintenance of certification (MOC) program in 2014 will increase time commitments by about 20 percent and expenses (including the cost of their time) more than 15 percent for physicians who need to complete it, says a study  led by Dhruv S. Kazi, M.D., MSc, of the University of California  at San Francisco.

As MedPage Today noted: “In recent years the cost of the MOC program has been a point of contention among physicians, many of whom have called for evidence that the program helps physicians provide better quality care, and for financial transparency from the ABIM.

The publication said that “In February 2015, the ABIM responded to physician complaints with five modifications to the 2014 update, promising more flexibility, locking in the 2014 fees till 2017, and suspending the patient voice, patient safety, and practice assessment portions of the program for 2 years. The current study did not take these changes into account, but they do not appear likely to affect the results markedly.”




MOC: Finally, physicians strike back

Jordan Grumet, M.D., writes about how the “greedy group” of “once doctors” at the American Board of Internal Medicine (ABIM) went too far and “awoke the heart of the lion in the poor bleating body of the lamb” known as physicians.

The ABIM’s efforts “to boost revenues announced new maintenance of certification (MOC) requirements.  These largely unproven, waste of time and money efforts, did something that all the legislation and finger pointing on Capitol Hill had largely avoided”: An angry pushback by overworked doctors already  strangling in red tape.

”Maintenance of certification has become the spark that has finally ignited the beleaguered physician. Faced with a nonsensical healthcare system mired in administrative minutia, we have found a rallying cry that symbolizes all that trampling we have endured over the last few decades.  The hope rings out from city to city, that if we can just conquer MOC, then maybe Meaningful Use will be next. ”

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