tag:blogger.com,1999:blog-18943510.post4734873341679486474..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Is Maintenance of Certification Our Next Tuskegee?DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-18943510.post-69582597347229794802015-08-10T04:11:27.069-05:002015-08-10T04:11:27.069-05:00Choosing Wisely is MOC!Choosing Wisely is MOC!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-45981511997990461572015-08-10T03:25:20.997-05:002015-08-10T03:25:20.997-05:00Filling in the blank to paragraph 3 above. Sun Aug...Filling in the blank to paragraph 3 above. Sun Aug 09, 03:42:00 PM CDT<br /> <br />When you consider that has been directly and convincingly linked to deaths and MOC is the illicit funding source, we have a direct analogy to a great many atrocious political patterns and heinous medical behaviors of the past. <br /><br />The study quantifying actual deaths in relation to the Choosing Wisely Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-15173017077955235992015-08-09T15:42:39.507-05:002015-08-09T15:42:39.507-05:00Analogies. Is it time to update and revisit this a...Analogies. Is it time to update and revisit this article?<br /><br />Associating with an overly zealous political organization like the ABIM will sully your reputation and besmirch your family. Stop it.<br /><br />When you consider that has been directly and convincingly linked to deaths and MOC is the illicit funding source, we have a direct analogy to a great many atrocious political patterns Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-32812577186222344952014-08-24T11:53:44.071-05:002014-08-24T11:53:44.071-05:00Thanks for writing this. MOC eats into an already ...Thanks for writing this. MOC eats into an already busy physicians time and creates hardships. The financial burden as proposed by ABIM/ <br />x dollars/year for 10 years is not the truth. Many physicians take time away from the practice and their patients and also have less time for the family/children during the prep time. The practices owned by hospitals may pay for certification, but provide Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-11121292722235680732014-04-10T22:33:00.472-05:002014-04-10T22:33:00.472-05:00Anonymous- no, no. Doctors suicide at a fairly hi...Anonymous- no, no. Doctors suicide at a fairly high rate. Do they do so for no reason whatsoever? I doubt it. Have they heard of the risk factors for suicide? Of course.<br />Tuskeegee; otherwise we should look at depression as a trivial disease, because you can't die from it. But many do. They are the invisible - better not talk about them. Tuskeegee happened because some people wereSteveofCaleynoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-53930627432842646152014-04-10T22:28:06.009-05:002014-04-10T22:28:06.009-05:00I enter the concern from the world of healthcare f...I enter the concern from the world of healthcare for the incarcerated, where failure is defined as "deliberate indifference to serious medical need." <br />The concept is entirely fitting when people make changes that are indifferent to their effects on others. It is similar to a principle called "moral hazard" in disowning risk.<br />Divide and rule, said Stalin. The SteveofCaleynoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-43026168213657912682014-04-03T09:23:06.018-05:002014-04-03T09:23:06.018-05:00I propose that every ten years all practicing card...I propose that every ten years all practicing cardiologists should be required to repeat a year of fellowship. This would improve patient care. If you oppose my plan, then you must hate good patient care. This is the best thing for our patients.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-28405682451110007042014-04-01T20:35:20.637-05:002014-04-01T20:35:20.637-05:00Sometimes exaggeration helps to open eyes. Now I a...Sometimes exaggeration helps to open eyes. Now I ask all my colleagues who are Residency/Fellowship Program Directors "Is your training worth only 10 years?" Because, according ABMS, everybody needs to relearn & retest every 10 years. Arvindhttps://www.blogger.com/profile/05089988211202001835noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-2598206456343907222014-04-01T07:56:23.845-05:002014-04-01T07:56:23.845-05:00Dr Wes
Thank you and please do not change your no...Dr Wes <br />Thank you and please do not change your note. <br />BTW:<br />The correct information about 2013 MOC result is:<br />Fall 2013: For this Maintenance of Certification exam, 5,634 candidates took the test with a pass rate of 71%. First-time test takers (4001 of them) passed at a rate of 78%. <br /><br />ABIM is a corporation. “If we look at the corporation as a legal person, it Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-25015871290383380642014-04-01T06:44:52.530-05:002014-04-01T06:44:52.530-05:00Jay D and the other anonymous commenters who have ...Jay D and the other anonymous commenters who have criticized my analogy to Tuskegee: you each make very valid points. No physician that I know of has died from the MOC process and the use of this analogy was propably inappropriate in retrospect. I apologize to everyone offended by this analogy here and will modify this post to reflect this soon.<br /><br />But I should say now before I head offDrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-77720219513269244252014-03-31T22:35:44.887-05:002014-03-31T22:35:44.887-05:00Like some other commenters I agree with the sentim...Like some other commenters I agree with the sentiment about MOC process being horrible. <br /><br />That said, the comparison of MOC with Tuskegee is one of the most over-dramatic things I've heard in a long time. Is it any wonder the public sees us in the medical profession as prima donnas?Jay Dnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-83334784387989565892014-03-30T18:03:59.830-05:002014-03-30T18:03:59.830-05:00I too hate MOC and I applaud your valiant efforts ...I too hate MOC and I applaud your valiant efforts at curbing the ABIM and their clowns. That said, the ABIM is not killing any doctor or allowing them to die by making us do the idiotic modules they have come up with. There is a profound distinction between Tuskegee and MOC and some analogies are best left untouched out of respect for those involved. There,a spanking!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-15977038627036084952014-03-30T17:12:51.565-05:002014-03-30T17:12:51.565-05:00The ship has sailed on professional autonomy, for ...The ship has sailed on professional autonomy, for better or worse. <br /><br />Police Officers seldom go anywhere without a camera rolling. Pharmacists have cameras recording every pill they dispense. Teachers and students are meaninglessly tested and certified ad infinitum, and video evaluation is being pushed for every classroom.<br /><br />I wish you well in this battle, but the truth is Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-67644574563740190792014-03-30T16:00:44.520-05:002014-03-30T16:00:44.520-05:00Tuskegee? Really dude? Not Nazi doctor experiments...Tuskegee? Really dude? Not Nazi doctor experiments in concentration camps? Feels more like the latter to me....think you are going to get spanked for the analogy.<br /><br />But seriously, I hate the MOC process as much as the next person, and agree 100% that it should have been pretested-- tempted to say on pediatricians or pathologists, but hard to show an effect on results/outcomes, so cards Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-78769352143232359602014-03-30T13:52:24.222-05:002014-03-30T13:52:24.222-05:00The new MOC requirements remind me of Obamacare. ...The new MOC requirements remind me of Obamacare. 'Let's just roll it out and worry about fixing it later.' Cram it down the throats of physicians. Then they use the old excuse of ensuring that the public is getting the best doctors which sounds like raising taxes because 'it's for the kids'. Prior to these changes, were patients seeing incompetent physicians. Is the Anonymousnoreply@blogger.com