aap-moc

MOC is really wasting time and creates a lot of pressure for practicing pediatricians that are trying to be compliant with the board, the government regulations, the VFC regulations, the changing ICD-10, the numerous CME meeting or ever changing medical information in Journals or webinars or seminars or online medical news daily. It's like our time has been stretched to many different directions. The most important part is caring for our patients. I do not think that there is one doctor out there that does not try to learn new information or educate himself/herself routinely. ABP should really do away with the MOC STAT.

MOC is really wasting time and creates a lot of pressure for practicing pediatricians that are trying to be compliant with the board, the government regulations, the VFC regulations, the changing ICD-10, the numerous CME meeting or ever changing medical information in Journals or webinars or seminars or online medical news daily. It's like our time has been stretched to many different directions. The most important part is caring for our patients. I do not think that there is one doctor out there that does not try to learn new information or educate himself/herself routinely. ABP should really do away with the MOC STAT.

I am a solo practitioner in my 40's and since I have a small practice with only 1 employee, I take on most of the administrative (payroll, bookkeeping), MA work (ordering and stocking supplies, vaccine administration and recording, call back to patients, Rx refills) on top of actually seeing and taking care of patients. I can only work on my MOC activities after all of these essential office functions are fulfilled. Needless to say I am REALLY BEHIND on my MOC requirements!

I am a solo practitioner in my 40's and since I have a small practice with only 1 employee, I take on most of the administrative (payroll, bookkeeping), MA work (ordering and stocking supplies, vaccine administration and recording, call back to patients, Rx refills) on top of actually seeing and taking care of patients. I can only work on my MOC activities after all of these essential office functions are fulfilled. Needless to say I am REALLY BEHIND on my MOC requirements!

Keeping up with current research and education is important. Retaking a test on minutiae over and over again is not. Show us the evidence that it benefits our patients!

Keeping up with current research and education is important. Retaking a test on minutiae over and over again is not. Show us the evidence that it benefits our patients!

The American Board of Pediatrics claims that the present system is necessary to assure the public of a level of quality among physicians who call themselves pediatric specialists. The difficult, time consuming and expensive process consists largely of testing and retesting for arcane knowledge and elements of medical minutia. This reflects a perception among the physicians who devised and maintain the system that the public sees physicians as nearly magical, all-knowing wizards, who must be able to recognize the cause of any health issue instantaneously and know how to treat without hesitation without need to confer or consult a text or database. A failure on the part of a physician to have achieved the necessary level of wizardry can result in disaster. This is of course absurd. When medical mishaps occur, they are very often not the result of lack of knowledge of obscure bits of information but overconfidence in one's ability to instantly diagnose a problem, and an unwillingness to thoughtfully reassess in light of clinical elements that do not fit the working diagnosis. The errors can also be the result of hurried management based on a quick hunch rather than careful collection of all available data on the patient (hospital reports, reports from other physicians, lab and radiological data), and review of that data. The overemphasis on an ability to diagnose and treat off the top of one's head actually promotes the practice of bad medicine. The testing and retesting of physicians is based on a very archaic and elitist viewpoint. I think we underestimate the level of sophistication of the public we serve, that is becoming increasingly mistrustful of physicians, especially those who present themselves as all-knowing. I also would like to think there is hope in continuing to object to the present system. The ABP receives its mandate from us, the practicing pediatricians. I refuse to accept that we are truly at the absolute mercy of a dictatorship "brainocracy"

Thank God I am old enough not to have to go through MOC! Most pediatricians have required CME through their state licenses. Required CME should be tied, I think, to public health needs of the country &/or state. It should change over time to reflect the changing public health problems we face. Right now, the organization and delivery of health care, access, and affordability are in a crisis! Who cares about MOC!!!

Thank God I am old enough not to have to go through MOC! Most pediatricians have required CME through their state licenses. Required CME should be tied, I think, to public health needs of the country &/or state. It should change over time to reflect the changing public health problems we face. Right now, the organization and delivery of health care, access, and affordability are in a crisis! Who cares about MOC!!!

With all the things that have been thrust on us to learn(not related to the practice of pediatric medicine) in the last few years(meaningful use, EHR, now new child abuse requirements in PA). I think the MOC as presently structured is a significant burden to practicing pediatricians. I have laways kept current as it is important, what I do not need is to work on something to stay curent that really has nothing to do with me staying current.

With all the things that have been thrust on us to learn(not related to the practice of pediatric medicine) in the last few years(meaningful use, EHR, now new child abuse requirements in PA). I think the MOC as presently structured is a significant burden to practicing pediatricians. I have laways kept current as it is important, what I do not need is to work on something to stay curent that really has nothing to do with me staying current.

The MOC process is too tedious and expensive. Parts 2 and 4 offer few benefits to physicians or patients.

The MOC process is too tedious and expensive. Parts 2 and 4 offer few benefits to physicians or patients.

I am currently engaged in a MOC 4 activity and can find no redeeming value in this exercise.

I am currently engaged in a MOC 4 activity and can find no redeeming value in this exercise.

I was in one of the first groups out of graduate training required to recertify. The first year we were given computer modules to complete. We were allowed to use resources to complete the cases or even discuss with colleagues. I found it educationsl and helpful to keep up with some reading. Then the next cycle started in 7 years. From this time on it has been a burden in terms of time and expense. It has been educational only in some of the part 2 activities. It actually feels punitive. I am choosing to leave practice this year, earlier than I might have if all of the paper and computer work not been implemented. I regret what has happened to what was once a privileged profession that valed commitment to lifelong learning and care for our patients.

I was in one of the first groups out of graduate training required to recertify. The first year we were given computer modules to complete. We were allowed to use resources to complete the cases or even discuss with colleagues. I found it educationsl and helpful to keep up with some reading. Then the next cycle started in 7 years. From this time on it has been a burden in terms of time and expense. It has been educational only in some of the part 2 activities. It actually feels punitive. I am choosing to leave practice this year, earlier than I might have if all of the paper and computer work not been implemented. I regret what has happened to what was once a privileged profession that valed commitment to lifelong learning and care for our patients.

i agree we need to keep up with changes but I feel having to do som much every 5 years is too much. I see patients all day long, then sometimes work from home. Also work on some weekend. It is hard to find time just for that. I am always reading up to date, getting cme at lunch lectures and keeping current

i agree we need to keep up with changes but I feel having to do som much every 5 years is too much. I see patients all day long, then sometimes work from home. Also work on some weekend. It is hard to find time just for that. I am always reading up to date, getting cme at lunch lectures and keeping current

I agree. The current process is not necessary for us to continue to give good patient care. It is costly, takes time, and not helpful. I recently took the recertification exam and passed. It is not reflective of actual practice, however. I do not simply make a "guess" if I'm not 100% sure of a diagnosis. Who would want their physician to guess most of the time? You either look it up, ask a colleague, or consult a specialist. . Why is the ABP not listening? If they do not listen to us, why do we have to listen to them?