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    MOC: 84% of urologists dissatisfied with current process

    National Report—Urologists’ dissatisfaction with maintenance of certification (MOC) is widespread, and they are not shy about sharing their opinion on the controversial program.

    Related: Look for MOC changes in 2017, American Board of Urology says

    Eighty-four percent of practicing urologists are not satisfied with the current MOC process, according to an exclusive Urology Times survey. More than half of survey respondents (54%) disagree or strongly disagree that becoming certified or recertified by the American Board of Urology (ABU) is an accurate measure of a urologist’s ability to practice quality medicine.

    About two-thirds say MOC should be done away with altogether.

    What should happen to MOC?

    Urologists cite as specific concerns the administrative burden and cost associated with MOC and the belief that it does not accurately reflect their clinical skills, the survey found.

    “MOC is a joke, but I’m not laughing,” wrote one respondent in an open-ended question. “I don’t think it does anything to ensure quality or value or ethical practice of urology. It just adds one more burden to my overburdened private practice of urology.”

    “It does nothing to improve the quality of my care. I would suggest a review course in 7 to 10 years but no testing and no exorbitant fees,” said another. “A complete waste of my money and time,” another wrote.

    The Urology Times survey was conducted via email in June and July 2016. It was intended to quantify urologists’ opinions about MOC and determine what they find bothersome about the program, what should be done about it, and whether they plan to recertify toward the end of their career.

    Almost all respondents (97%) are/have been board certified (86% with a time-limited certificate), and the majority (63%) are in private practice. Twenty-eight percent have gone through the certification process once since they were originally certified, 34% have gone through it twice, 16% three times, 2% more than three times, and 20% never. The average age of respondents is 49. (Also see, “How the survey was conducted.")

    Next: Is the MOC process necessary?

    Richard R. Kerr
    Kerr is group content director for Urology Times.

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