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Text of the page (random words):
pre tie world board certification was not something that needed to be maintained through completion of any cpd program it was valid for life so the district court was right to observe that cpd products serve a different purpose from certification and had nothing to do with it prior to the introduction of the moc program but the district court never went the next step to see that in siva s view this is precisely the problem cpd products he alleges still have nothing to do with certification in other words consumer demand for the two products remains distinct as such siva says the board s decision to name its cpd product maintenance of certification is nothing but a clever means of dis guising a tying arrangement siva therefore urges that we see through that strategic naming decision that marketing ploy in conducting the separate products analysis nonetheless the appeals court upheld the dismissal of plaintiff s claims because it did not feel moc was a substitute for other cpd products this argument was new and had not been addressed before by either the lower court or the parties lazarou v american board of psychiatry and neurology 1 19 cv 01614 the lower court recently requested that the lazarou parties file a brief addressing the impact of the siva opinion plaintiffs explained how siva had found certification and moc to be separate products and described in detail how moc was indeed a cpd product and that moc and other cpd products are substitutes for and interchangeable with each other whether the lazarou case can go forward now lies in the judge s hands implications of moc regardless of how the judges have ruled or will rule in these cases moc has already had far reaching effects on the us health care system in my opinion the moc story reflects a remarkable betrayal of working physicians by other physicians for one reason greed the physician sycophants who head these organizations have become incredibly wealthy at working physicians expense and failed to actively deal with their organizations numerous conflicts of interest permitted by their very own bylaws physicians are leaving our profession in droves as they are gaslighted no longer feel valued and are forced to buy moc to remain privileged at hospitals receive insurance payments and lower their malpractice costs despite no credible proof that moc improves patient care or safety worse countless hours of patient care have been wasted on test preparation and performing worthless data entry exercises to have never considered that thousands of patients suffer as a result of moc is bizarre unless of course patients are of no real concern to those that impose the extortionate moc program it is disturbing when organizations like the physician consortium for performance improvement thepcpi org with the same address as the american board of medical specialties magically disappear from the internet when their collaboration with the medical industry is exposed thanks to the digitization if health care moc tears a playbook sheet directly from the old ama cpt coding and facebook cambridge analytica playbook data make you rich and can advance a political agenda being slippery about moc s purpose voids any semblance of trust by physicians in our health care system moral injury is playing a large role in physicians disillusionment all the cute websites in the world called buildingtrust org made by the abim foundation that secretly re purposed tens of millions of dollars from physicians for political and retirement fund purposes certainly doesn t help rather it is a sick example of how low medicine has stooped to transfer working physicians forced moc fees to others in return for political favors worst of all perhaps in a clear and present danger to all patients moc promotes the silencing of scientific debate abim american board of pediatrics and american board of family medicine recently issued a statement with the federation of state medical boards that threatens revocation of certification and even state licensure as a cudgel to quell anything they consider dissemination of misinformation by physicians meanwhile orwell and semmelweis are rolling in their graves all these activities and wasteful spending make me wonder if certification should be continued at all our bureaucratic house of medicine has lost its way the drive for money and political influence have become so dire that even our own medical specialty societies are now partnering with the ruse as i near retirement i have a choice use my forty plus years of medical experience to help train and teach my younger colleagues continue to care for patients and pay up and shut up to perpetuate the ruse or quit medicine to avoid another round of extortion to remain certified in order to practice at the hospital system i have served for 22 years i wish i didn t have to make such a decision medicine is what i do my patients are what matters not the abms member boards retirement funds i serve in the trenches with some of the most sterling heroic physicians i ve ever had the privilege to work with i am sure you do too i d just like our regulatory bodies to have the modicum of honesty and credibility that we deserve wes posted by drwes at 5 03 2023 08 00 00 am no comments email this blogthis share to x share to facebook share to pinterest thursday april 27 2023 abms maintenance of certification its origins realities and implications for medicine part i this piece first appeared on sensible med on 4 26 2023 if you re a board certified internist you re probably quite familiar with the controversy surrounding the american board of internal medicine abim that began when lifelong board certification mysteriously became time limited in 1990 physicians were told the justification for this change was that doctors needed to keep up with ever changing medical innovations and that their skills and intellect atrophied with age never mind that the physicians who insisted on this change exempted themselves from the process and a system was already in place that addressed continuing professional development cpd of physicians using accme accredited continuing medical education cme the annual market for physician cpd products in the us is massive about 3 billion per year faced with the limited income stream of initial board certification of physicians in their specialty cpd products were an attractive target for the american medical association and their subsidiary organizations the abim and the abms american board of medical specialties with the stroke of a pen and with the help of medical societies and clever politics the era of board re certification and lifelong maintenance of certification moc was born to assure physicians participated in board re certification the task force on recertification threatened uncertain circumstances if physicians failed to maintain their board certification through repeated testing as physicians confronted increasing regulations to practice medicine independently more of them became employed thanks to their hospitals insisting that their staff physicians be abms board certified to garner admitting privileges doctors could no longer buy the cpd products of their choosing but rather had to purchase cpd products that offered moc points if they wanted to practice medicine moc soon grew to include not only testing of physicians but added requirements for practice improvement modules and patient voice modules whatever those were a director of test security was appointed to catch physicians who might share test content with their colleagues and compromise the money gathering process that individual was well suited to the task holding felony and misdemeanor convictions for impersonating a police officer and carrying an unregistered firearm in washington dc after he was fired from the washington dc police force for targeting a journalist through political lobbying disguised as consultant work on tax forms and with the help of medical stakeholders moc was quietly added to the affordable care act aca as a quality registry no one ever mentioned to physician diplomates of the abim that the president and ceo of their organization also sat on the boards of kaiser health plans and hospitals and premier inc the largest group purchase organization for hospitals and nursing homes at the time the affordable care act was being passed in congress a close look at moc enrollment shows physicians must agree to an adhesion contract that makes them a business associate with abim moc is not about physicians keeping up any more it s about diverting cpd funds to the abms member boards and selling the data the abms member boards collect on physicians via the for profit abms subsidiary abms solutions llc at our expense might the abim s press release that was leaked to the wall street journal about doctors cheating been timed for the passing of the aca law later in 2010 since the former president and ceo of the abim was a member of the president s council of advisors on science and technology and soon began serving as the director of the national quality forum the timing of these events is remarkably coincidental as i face the prospect of board certifying in cardiology and cardiac electrophysiology for the fourth time i am grandfathered in internal medicine i can t believe this program has been allowed to continue but as i hold my nose and reach deep into my bank account to pay nearly 3600 dollars for study materials worth one fifth of my re certification bill i now completely understand ten years ago on this blog i began looking into the activities of the abim and other member boards of the abms especially since the side effect of their policies on us physicians and their legality have never been studied i reviewed 75 of their studies they published many behind firewalls to justify their extortion of working physicians most were written by abim officers themselves some by members of washington think tanks and at least one included a veterinarian as author with the help of a forensic accountant i began investigating the abim s finances in 2013 in december 2014 i published my investigation on the abim foundation the choosing wisely campaign and their undisclosed 2 3 million 2 bedroom condominium purchase using our test fees later in 2017 with the help of a diverse set of physicians and doctors of osteopathy i co founded practicing physicians of america ppa a non profit 501c6 organization with free membership to continue our work fighting moc and supporting working physicians at nearly the same time paul teirstein md created a recertification board with academic colleagues to compete with the abms medical boards cpd product called the national board of physicians and surgeons nbpas unfortunately for physicians who work at teaching hospitals the acgme accreditation requires abms board certified physicians so nbpas is not recognized at academic hospitals that wanted to remain acgme accredited the abms is a member organization of the acgme nor has it been able to penetrate this political firewall as of this writing in response to an outpouring of negative feedback from physician diplomates and others abim began amending the moc process in 2018 to introduce it by another name in 2022 the longitudinal knowledge assessment lka this new program promised more frequent testing and money gathering pushed to doctors cell phones working physicians explored multiple avenues to end maintenance of certification including the passage of an ama resolution having a vote of no confidence issued by the pa medical society and a state by state effort to pass legislation to end the abms member boards stranglehold on physicians none of these efforts succeeded in ending abim s monopoly on certification what options did working physicians have to end the injustices and discrimination that the implementation of moc created legal action part two of this piece will appear next week and will briefly summarize the outcome and status of lawsuits filed against the boards because of moc and the consequences of this program to our profession wes posted by drwes at 4 27 2023 05 44 00 am no comments email this blogthis share to x share to facebook share to pinterest sunday april 02 2023 moc and the demise of cme with the ongoing forcing of participation in maintenance of certification moc of us physicians by the american board of medical specialties abms and its 24 member boards we are seeing the slow demise of physician selected continuing medical education cme in america attendance at specialty society meetings is at an all time low doctors increasingly employed and facing the reality of how to spend their continuous professional development budget must choose to maintain their board certification or pay for cme credits at a course of their choosing paying even more money to socialize and interact with colleagues to share ideas review posters and participate in group learning sessions is going away specialty societies have read the tea leaves their budgets are tight now too is there any wonder then that the largest subspecialty society the american college of cardiology acc buddied up with the american board of internal medicine abim to sell their continuous professional development products like accsap acc self assessment product echosap echo self assessment product cathsap hfsap heart failure self assessment product and the soon to be ep sap electrophysiology self assessment product buy their products for the cool tune of 1500 1900 for 20 review of the field and doctors get cme and moc credits without the stress of having to achieve a passing score on their performance assessment the federation of state medical boards fsmb a private non profit has been working tirelessly to influence state medical boards on the value of moc too their interstate licensing pact requires their physicians to 1 pay 700 on top of each state s licensing fee 2 be fingerprinted with background checks and 3 requires physicians to be abms board certified and participate in moc at least two states georgia and illinois now accept participation in moc in lieu of cme requirements for licensure meanwhile there is no proof moc makes us better doctors none but we sure become wonderful computerized data points consequently physicians are left isolated from their colleagues they are no longer valued for their creativity intellect or social skills but work productivity they are data points shared between those of medical industrial complex hospital systems insurers drug companies and their pharmacy benefit managers and medical device companies that pay hefty fees for access to that data physicians are burning out an leaving medicine in droves gaslighting of physicians by the member organizations of the accreditation council of graduate medical education read ama abms cmss aha among others regarding the importance of maintaining your certification through moc or is it lka longitudinal knowledge assessment now...