For the past year, ABIM has actively solicited feedback from and encouraged the internal medicine community to engage in co-creating an MOC (Maintenance of Certification) program for the future. Despite these interactions—and even though our societies dedicate considerable resources to helping our members complete the MOC process—we are struggling to understand ABIM’s plan for re-engineering MOC to reflect the changing nature of medical practice.While this letter might be "well-intentioned," it still buys into the notion that all MOC needs is to be properly “fixed.” These leaders completely ignore all of the financial improprieties that are part and parcel of the ABIM and MOC. They should be calling for its demise, or ensuring that MOC remains forever truly voluntary,by decrying any future linkage to licensure, reimbursement from payors, or hospital privileges, or they should join the mass noncompliance bandwagon.
However well intentioned, the overall vision, philosophy or strategy of ABIM’s changes to MOC are not clearly stated. Further, the lack of a shared vision makes it more difficult and costly for societies to adjust to changes made by ABIM that are implemented with little input from or notice to the societies.
Let's hope, however, that this letter represents the first crack in the ABIM's MOC "foundation." It is time membership societies stop beating around the bush and acknowledge how deeply corrupt and flawed the MOC program has become and understand that their membership is ready to jump ship if they don't.
They have a choice to make: ally with their practicing physician membership or ally with ABIM. Which will it be? I would suggest they start working on their next letter explaining to the ABIM what is actually happening.