we actually pulled it off and forced the change we wanted to see. i never thought the board would listen but the pressure worked. now we watch to make sure they follow through on everything they promised.
Several months ago on Medscape there appeared a discussion question “Why be Board certified?”
The opening paragraph detailed the issue of pediatricians now competing for jobs with mid level providers. These latter are lesser educated, permitted to work without physician supervision in a growing number of places, have no requirement for the kinds of extensive, expensive certification/recertification processes as do pediatricians, and are paid quite well. With that stated, the question was asked “Is it worth maintaining Board Certification...?” Comments were almost all negative and the vote was almost 70% saying “no” with over 500 votes cast thus far.
Similar sentiments have been expressed at pediatric meetings, in independent discussions, and elsewhere on the web. With that as background we the undersigned believe it is the AAP’s clear responsibility to its Lifetime Certified (and other) Fellows to pressure the ABP to:
1. Institute a moratorium on the MOC process until an independent body of pediatricians can demonstrate with good science (evidence based medicine) that the entire process (or perhaps that some part it ) has directly improved the care we provide and also directly improved the health of children.
2. Provide financial data to demonstrate their cost effective use of our money ($40 million now in their bank), including that for staff compensation, to reduce the expense of certification/recertification to pediatricians to the actual direct cost of preparing the exam.
3. Identify Pediatricians only as Board Certified without including the not “meeting the requirements of Maintenance of Certification” which has little meaning to other than regulatory agencies.
The current process is a box checking exercise. It is not indicative of true life-long learning. Keeping current is very important, but the MOC process is expensive and time-consuming and not helpful at all.
A
Anonymous
11 years ago
Featured
Agree with many other pediatricians. MOC often feels to me like 'busy work', especially Part 4. It takes valuable time away from patient care. The bureaucratic pressures are immense (ICD10, EHR, ACO, increased state licensing requirements,etc) and take more and more time away from patient care.
M
Matthew Downs
11 years ago
Featured
I would love to renew my AAP membership however I will not until it once again represents it's members in a reasonable fashion. Over the last several years it has become evident that the AAP is not an advocate for its members but in the business to make money through the MOC.
T
Timothy G Gillespie
11 years ago
Featured
I derive no benefit from these exercises. Let's find a better way to ensure pediatricians are maintaining the best practice standards to avoid comparison with "providers" without the weight of burdensome and expensive exercises. Exams and CME should be sufficient.
J
Jesse Hackell
11 years ago
Featured
In addition to other comments, I have little confidence in the claim that the public demands board certification. Where is the evidence for this claim as well as others about effectiveness of MOC?
T
Tom Barela MD PhD, FAAP
11 years ago
Featured
MOC is a unilateral decision without data or techniques to ensure that MOC has validitation as a quality indicator. It is expensive and not consistent with demonstrated learning modalities in highly educated professionals
J
John C. Viverito
11 years ago
I am always learning nearly day to day by using refernce books, UpToDate, remote access to the local Medical School Library, etc. There are nearly daily situations that I look up to expand my knowledge base. I attend wekly grand rounds and other CME meetings. None of these count tword ABP MOC.
The other parts of MOC are time consuming and add little if any benefit to my patients.
J
John C. Viverito
11 years ago
I am always learning nearly day to day by using refernce books, UpToDate, remote access to the local Medical School Library, etc. There are nearly daily situations that I look up to expand my knowledge base. I attend wekly grand rounds and other CME meetings. None of these count tword ABP MOC.
The other parts of MOC are time consuming and add little if any benefit to my patients.
Anonymous
Stop the MOC. Costly in terms of time & finances & no evidence to support its efficacy. Just goes to the pockets ABP president & staff.
Also, do away with recertification exams. There should be one standard for certification. Older pediatricians shouldnt be "grandfathered" into a separate standard.
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we actually pulled it off and forced the change we wanted to see. i never thought the board would listen but the pressure worked. now we watch to make sure they follow through on everything they promised.
Several months ago on Medscape there appeared a discussion question “Why be Board certified?”
The opening paragraph detailed the issue of pediatricians now competing for jobs with mid level providers. These latter are lesser educated, permitted to work without physician supervision in a growing number of places, have no requirement for the kinds of extensive, expensive certification/recertification processes as do pediatricians, and are paid quite well. With that stated, the question was asked “Is it worth maintaining Board Certification...?” Comments were almost all negative and the vote was almost 70% saying “no” with over 500 votes cast thus far.
Similar sentiments have been expressed at pediatric meetings, in independent discussions, and elsewhere on the web. With that as background we the undersigned believe it is the AAP’s clear responsibility to its Lifetime Certified (and other) Fellows to pressure the ABP to:
1. Institute a moratorium on the MOC process until an independent body of pediatricians can demonstrate with good science (evidence based medicine) that the entire process (or perhaps that some part it ) has directly improved the care we provide and also directly improved the health of children.
2. Provide financial data to demonstrate their cost effective use of our money ($40 million now in their bank), including that for staff compensation, to reduce the expense of certification/recertification to pediatricians to the actual direct cost of preparing the exam.
3. Identify Pediatricians only as Board Certified without including the not “meeting the requirements of Maintenance of Certification” which has little meaning to other than regulatory agencies.
The current process is a box checking exercise. It is not indicative of true life-long learning. Keeping current is very important, but the MOC process is expensive and time-consuming and not helpful at all.
A
Anonymous
11 years ago
Featured
Agree with many other pediatricians. MOC often feels to me like 'busy work', especially Part 4. It takes valuable time away from patient care. The bureaucratic pressures are immense (ICD10, EHR, ACO, increased state licensing requirements,etc) and take more and more time away from patient care.
M
Matthew Downs
11 years ago
Featured
I would love to renew my AAP membership however I will not until it once again represents it's members in a reasonable fashion. Over the last several years it has become evident that the AAP is not an advocate for its members but in the business to make money through the MOC.
T
Timothy G Gillespie
11 years ago
Featured
I derive no benefit from these exercises. Let's find a better way to ensure pediatricians are maintaining the best practice standards to avoid comparison with "providers" without the weight of burdensome and expensive exercises. Exams and CME should be sufficient.
J
Jesse Hackell
11 years ago
Featured
In addition to other comments, I have little confidence in the claim that the public demands board certification. Where is the evidence for this claim as well as others about effectiveness of MOC?
T
Tom Barela MD PhD, FAAP
11 years ago
Featured
MOC is a unilateral decision without data or techniques to ensure that MOC has validitation as a quality indicator. It is expensive and not consistent with demonstrated learning modalities in highly educated professionals
J
John C. Viverito
11 years ago
I am always learning nearly day to day by using refernce books, UpToDate, remote access to the local Medical School Library, etc. There are nearly daily situations that I look up to expand my knowledge base. I attend wekly grand rounds and other CME meetings. None of these count tword ABP MOC.
The other parts of MOC are time consuming and add little if any benefit to my patients.
J
John C. Viverito
11 years ago
I am always learning nearly day to day by using refernce books, UpToDate, remote access to the local Medical School Library, etc. There are nearly daily situations that I look up to expand my knowledge base. I attend wekly grand rounds and other CME meetings. None of these count tword ABP MOC.
The other parts of MOC are time consuming and add little if any benefit to my patients.
Anonymous
Stop the MOC. Costly in terms of time & finances & no evidence to support its efficacy. Just goes to the pockets ABP president & staff.
Also, do away with recertification exams. There should be one standard for certification. Older pediatricians shouldnt be "grandfathered" into a separate standard.
The current process is a box checking exercise. It is not indicative of true life-long learning. Keeping current is very important, but the MOC process is expensive and time-consuming and not helpful at all.