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    Statewide tests on the role of MOC multiply


    Like-minded physicians worry that involving politicians in matters previously regulated within the profession sets a dangerous precedent. If the value of rigorous oversight by specialty boards is diminished, patients may be driven to Yelp! and other disreputable and inconsistent sources for "reviews." Equally problematic, according to Yul Ejnes, MD, an internist in North Scituate, RI, "We're trying to get the government out of our business and here we are giving the government some of our business." (Dr. Ejnes was one of two physicians defending MOC in an August 2017 Physicians Practice article.)

    The American Board of Urology is responding to the community's concerns, according to AACU ABU Trustee Mark Austenfeld, MD. During a town hall meeting held in conjunction with the 2017 AUA annual meeting, the ABU committed to making the MOC process "more meaningful and of greater value to our diplomates, while protecting the public," Dr. Austenfeld said.

    Read - QPP implementation: CMS has begun to listen

    "We are shifting away from MOC and toward lifelong learning," Dr. Austenfeld added. The AACU ABU trustee further reported that this may include transitioning from a pass/fail exam and using the test to prescribe particular continuing medical education programs.

    Such a switch would be welcomed by physicians who attest that high costs, administrative burdens, and sub-specialization have made it more difficult to maintain certification. The question remains, however: Do providers require state intervention to ensure that their ability to practice medicine is not tied to permanent participation in the recertification process?

    More from the AACU:

    Telemedicine policies expand access, dictate reimbursement

    Drug importation: Shortsighted and ineffective

    Policymakers consider intersex surgical standards

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