Kenneth Han DO MA says: Your comment is awaiting moderation.
January 30, 2014 at 5:55 pm
Personal experience:
I will have to agree with Amit Nahata, MD and Howard C. Mandel, MD, FACOG. I recently recertified last year. This did not improve the quality of care my patients received. I work in a AAAHC accredited governmental medical facility that requires physician metrics, benchmarking and clinical study data. Preliminary raw data thus far reveals that physicians who do NOT recertify actually give better quality care than those who certify. Should we now recommend patients ”CHOOSE WISELY” by making sure their doctor does NOT recertify ?
If you want to measure the quality of care provided, then look at the care. If you want to measure how physicians answer test questions , test them.
How can you assume that test questions and doing MOC activities assures quality care ?
Facts:
1) The American Board of Medical Specialties has published that the quality of research on MOC does not meet commonly accepted research standards.
Sharp LK, Bashook PG et al. Acad. Med. 2002;77:534–542
2) Certification does not “guarantee performance or positive outcomes”.
http://www.abms.org/maintenance_of_cert ... /pdfs/ABMS¬_MOCMythsFacts_3-20-13.pdf
3) Twenty Three (and growing) State Medical Societies ALL oppose MOC.
4) The American Board of Medical Specialties (ABMS) lobbied Congress to pass legislation linking Board Certification to Medicare and Medicaid reimbursement payment.
5) “CME appears to be effective at the acquisition and retention of knowledge, attitudes, skills , behaviors and clinical outcomes”
US Department Health and Human Services: Effectiveness of CME
Prepared by The John Hopkins University, Evidence based Practice Center
http://changeboardrecert.com/documents/ ... REPORT.pdf
Opinion:
1) There should be complete overhaul of the Board Certification Process.
2) There should be complete transparency within the ABIM.
3) There should be salary caps, term limits and oversight of ABIM CEO and board members.
4) http://changeboardrecert.com/anti-moc.htmlStatistics: Posted by Ken — Tue Feb 04, 2014 3:43 pm
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