The Pediatricians Are Even Fighting Certification


This was recently sent to me by a reader of this blog.  He is a professor in pediatrics and wanted to make sure we know that the pediatricians are in the fight against their boards as well:

I wanted to make you aware of a website and effort by pediatricians to eliminate MOC – there is a great link in there to the 2012 IRS 990 form for ABP that shows one pediatrician receiving >1.2 million dollars in compensation working for the board – Would love it if you could publicize the link:

This is what the site says:

Dear Colleagues:
You are likely aware of recent changes to the American Board of Internal Medicine Maintenance of Certification (MOC) process and the rising physician opposition to MOC throughout all ABMS specialties. As pediatricians, we join our physician colleagues in other specialties and believe the American Board of Pediatrics MOC program should reform as well.

Let us start with commonalities: we believe in lifelong learning. We believe in setting high standards for ourselves and those within our profession. We believe in scientific advancement, research, and exceptional patient care.

But we do not believe that the current 4-step Maintenance of Certification (MOC) process best suits these goals. Not only is MOC time consuming and expensive, it has not been shown to improve patient care.

As it stands, MOC is broken. It’s time to return board certification to a collegial educational endeavor.

We support MOC reform in which a qualifying physician has to pass an initial certifying exam once, with subsequent continuing medical education (CME) as sufficient documentation of individualized lifelong learning.

All board certificates are to be valid for the duration of one’s practice without the continual need for secure recertifying exams, or performance in practice modules .

A simple two-part process requiring Professional Licensure, demonstrated via valid unrestricted state medical license, and Lifelong Learning, with ACCME-approved CME of the diplomate’s choosing rather than the limited choice of ABP/AAP proprietary products, will be regarded as sufficient to maintain certification.

By signing below, you call upon the American Board of Pediatrics and the American Academy of Pediatrics to:

1. Greatly reduce the cost and time burden MOC imposes.

2. Eliminate Part 4 Performance in Practice Modules.

3. Eliminate Part 3 Secure Recertification Examination.

4. Reform MOC into a streamlined two-part process requiring Part 1 Professional Licensure, demonstrated via valid unrestricted state medical license, and Part 2 Lifelong Learning, with individualized ACCME-approved CME of the diplomate’s choosing rather than the limited choice of ABP/AAP proprietary products.

If you are pediatrician, please go on the link and sign the petition.

I love that the these guys are ready to battle.  Am I missing something or do the wussy family docs have anything to say about this?  If they are, send me that link.   I just want to see a time where I can pretend to be Ron Burgundy and say, “Boy, that escalated quickly… I mean, that really got out of hand fast.”

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  2 comments for “The Pediatricians Are Even Fighting Certification

  1. Perry
    April 10, 2015 at 10:54 am

    With the new information coming out about the financial issues with ABIM, and the tremendous dissatisfaction and frustration from doctors of all specialties, I think this is going to be a widespread movement. Unfortunately, the ABMS made sure MOC was written into the ACA, so don’t know how that will play out.

    • S. Nedob
      April 15, 2015 at 9:46 am

      Interesting that the ABP Presidental salary went from >$800K in 2010 and 2011 to more than $1.2 million for 2012. Wish everyone could see an almost 40% increase in one year working the same 49 hours per week.

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