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    States attempt to limit importance of MOC


    The most aggressive of these state MOC campaigns achieved success April 12, when Oklahoma Governor Mary Fallin (R) signed Senate Bill 1148. The new law forbids any requirement that a physician "secure a Maintenance of Certification (MOC) as a condition of licensure, reimbursement, employment or admitting privileges at a hospital in this state." While nothing in the statute explicitly prohibits a hospital from mandating MOC, the law does allow a physician to challenge such a requirement, asserting that it interferes with the practice of medicine.

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    The American Board of Medical Specialties took the unusual step of expressing "disappointment" with the measure, affirming its policy stating "neither specialty nor subspecialty certification should be the sole determinant in granting and delineating the scope of a physician's clinical privileges."

    As evidenced by the flurry of activity at the state and federal levels of government, many physicians are fighting back against increasingly burdensome recertification requirements. Since 60% of board certified physicians participate in MOC, it is vitally important to not only stay current with the science of medicine, but the regulation of the profession, as well.

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