You heard that correctly doctors, the American Board of Medical Specialties' Maintenance of Certification® (MOC®) program is over, finished, kaput.
The one thing that resonated loud and clear from the December 4th meeting in Chicago of the multiple specialty societies and state medical societies that were in attendance was "the current MOC® process is problematic."
But don't get too excited.
In a remarkably Orwellian twist of fate, a new "vision initiative" to reinvent "Continuing Board Certification" was just announced by the original MOC® creators serving as the "Planning Committee."
The Planning Committee is comprised of representatives from the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Graduate Medical Education (ACGME), Coalition for Physician Accountability, Council of Medical Specialty Societies (CMSS), Council on Medical Education (CME) of the American Medical Association (AMA), the public, and the American Board of Medical Specialties (ABMS).You just can't make this stuff up.
Jo Buyske, MD, ABMS/ABS
Sandra Carson, MD, CMSS/ACOG
Joyce Dubow, Public Member
Jack Evans, Public Member
Larry Green, MD, ABMS/ABFM
Thomas Hess, JD, ABMS
Lynne Kirk, MD, AMA CME
Graham McMahon, MD, ACCME
Thomas Nasca, MD, ACGME
John Prescott, MD, AAMC & Coalition
Stephen Wasserman, MD, ABMS/ABAI
Steven Weinberger, MD, CMSS/ACP
Norman B. Kahn, Jr., MD, CMSS, ex-officio
Lois Margaret Nora, MD, ABMS, ex-officio
We now see the ABMS and their sycophants at the ACGME, AMA, American College of Physicians, CMSS, and American College of Surgeons taking nominations for 21 to 25 individuals to serve on the planning Commission. This Commission will "bring together multiple stakeholders to assess the current state of continuing board certification and vision its framework for the future. ... Specialty societies, state medical societies, academic medical centers, hospitals and health systems, other health care systems, consumer organizations, patient advocacy organizations, ABMS member boards, and other groups are encouraged to submit nominations."
This is not rebranding.
This is not just a "pivot" to a new model.
This is an attempted cover-up.
Unless and until there is a full investigation of wrongdoing of these institutions regarding MOC®, including, but not limited to, potential tax fraud, misuse of physician testing fees for personal use, civil liberties violations, strongman tactics, and even possible racketeering, the current "vision initiative" should not be allowed to go forward, lest it happen again.
After all, medical professionalism demands accountability and many, many doctors want to see justice served.
Addendum: Nice to see at least one medical society voiced concerns regarding MOC at the December meeting.