No one thinks that doctors shouldn’t initially sit for a board certification. We just think the MOC or Maintenance of Certification is a sham and a money grab. The American Board of Internal Medicine has been getting hit hard by its members to stop this travesty but to my knowledge no one has really pushed back against the American Board of Family Medicine enough. If the AAFP was truly representing us then why aren’t they doing anything? Could they be benefiting from their relationship with the ABFM? There is a lot of money at stake and family doctors need to know where it is going This is from Dr. Westby Fisher’s blog six months ago:
For instance, while the public only has access to the ABFM’s tax forms to disclose the financial dealings of the organization, we quickly see that MOC continues to be a windfall for the ABFM. In fact, in 2014 MC-FM fees (the ABFM’s MOC program equivalent) contributed 46.4% ($12,776,905) of their $27,525,430 annual haul from ABFM diplomates. These fees helped support Dr. Puffer’s $803,687 annual compensation and the organizations’ $3,521,629 “donations” made to their “ABFM Foundation” and “Pisacano Leadership Foundation.” (In 2012 and 2013 these “donations” were even larger: $6,147,376 and $7,878,535 respectively). MOC also helped fund the ABFM Executive’s first class and companion air travel and their Directors’ first class air travel and a $1,449,525 retirement package with $435,000 in post-retirement medical benefits. No wonder MOC is such a great deal and needs to continue!
The ABFM is a tax-exempt 501(c)(6) tax-exempt organization that has accumulated a remarkable $130,082,516 in assets on the backs of working physicians that is offset by “liabilities” that fund the salaries of 75 people and other “projects” in the amount of $45,838,832 yeilding a net asset balance of $84,243,684 at the end of 2014. Rather than offset the fees that diplomates have to pay the ABFM for MOC, these fund transfers show the ABFM would rather continue to plow this money into itself (rather than defraying costs to its members) by growing its supporting “Foundations.”
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