Your AMA …Cover for the MOC by Pat Conrad MD

Anyone wishing to cure an overabundant zest for living need only spend a few minutes reading AMA House of Delegates committee resolutions.  The formal tone attempting to dress up a truckload of self-important swirl not nearly dignified enough to be called bullshit is…Contemptible?  Loathsome?  It sure is boring.

Remember when the AMA came out against MOC in 2016?  Of course you don’t, because in the end they predictably backed off and went back “for more study,” the politician’s way of saying he ‘wants to spend more time with the family” right after his latest DUI.

The AMA has worked diligently AGAINST the interests of patients and physicians for decades, and like the ABMS, has made a boatload of money in the process.  Yes I know, the ABMS doesn’t really answer to the AMA, but the latter is a powerful voice for all physicians, and could help us in this fight against the Maintenance of Certification gangsters.  Wouldn’t they want to?

This week the Vichy sellouts of “The House of Medicine” met at their AMA ego orgy in Chicago.  Could this really be the year when they finally came out and opposed the MOC extortion racket?



Madam Speaker, your Reference Committee recommends that Resolution 316 be referred.

HOD ACTION: Resolution 316 referred.

Resolution 316 asks that our AMA call for an end to the mandatory American Board of Medical Specialties “Part 4 Improvement in Medical Practice” maintenance of certification requirement.  Your Reference Committee heard mixed testimony regarding the Part 4 requirement for American Board of Medical Specialties (ABMS) maintenance of certification (MOC). There was testimony concerning the relevance, burden, and cost of the MOC Part 4 process in addition to the other requirements physicians are required to fulfill for meaningful use, MACRA, etc. However, it was also noted that the broadening range of acceptable activities that meet the Improvement in Medical Practice (MOC Part 4) component has made this activity acceptable for other national value-based reporting requirements and continuing certification programs. It was also noted that the boards are implementing a number of activities related to registries, systems-based practice, and practice audits to show improvement in practice. The ABMS Multi-Specialty Portfolio Program offers health care organizations a way to support physician involvement in their institution’s quality and performance improvement initiatives by offering credit for the Improvement in Medical Practice component of the ABMS Program for MOC. Due to the Council on Medical Education’s ongoing work with the ABMS and the ABMS member boards to improve this process, your Reference Committee felt that this issue should be referred for further study. Therefore, your Reference Committee recommends that Resolution 316 be referred.”

If you couldn’t read the preceding statement without looking for the whiskey or a rusty knife, here are the low points:

  • The AMA will not oppose MOC
  • The “mixed” testimony included pro-MOC agents that (easily) seduce the AMA traitors with language regarding “value-based reporting requirements”, “systems-based practices”, and “audits to show improvement in practice.”  The AMA is using the phony, unproven quality-value based lingo to push their tacit support of the ABMS thieves.
  • And for some moral veneer and a wink, this report cheers the ABMS’ support of forcing physicians into “quality” initiatives forced on them by non-physicians.
  • “Since the Council on Medical Education is already working with the ABMS to screw all physicians for a fee, we don’t think the AMA should interfere.”

The AMA delegates, as a body, are traitors to anything decent in medicine.  Most of this already knew that, and now we have their support for the MOC in black and white.

Hear our podcast on the MOC here