The American Board of Anesthesia's heavily-promoted "MOCA Minute" had some not-too-flattering details exposed recently.
First, was this letter sent to a diplomate who had not purchased their MOC offering:
Second, was the cost and the requirement to renewed requirement for physicians to participate in previously-suspended Part IV of the ABMS MOC program:
Here's the math: $210 per anesthesia diplomate annually x 20,000 anesthesiology diplomates = $4.2 million EVERY YEAR.
That's $42 Million every 10 years.
That's $42 million to the ABA for a program that threatens to compromise an anesthesiologist's ability to practice.
That's $42 million to the ABA for a program that threatens an anesthesiologist's ability to earn revenues from insurance companies.
It doesn't matter if doctors pay one lump sum every 10 years (as internists can do), or break their fees into bits. Forcing them to pay to keep practicing is the problem. Such a program in the egalitarian United States will never fly. Why, then, do the American specialty boards continue to insist that physicians participate when there are simply no proof it adds value to patient care or safety?
Because we're letting them get away with this.
It's time for all practicing physicians to stop supporting the ABMS MOC program, especially when there's at least one better option.