Physicians think that once they know something they know everything, forever. The claims they make about MOC (maintenance of certification) are completely BOGUS. As I’ve noted previously, board certification is the lowest rung on the ladder of professional achievement.
Let’s look at the arguments (see also here, here, here, here, here, and here):
This one’s particularly interesting. The American Osteopathic Association ties membership to certification. In other words the association wanted to ensure a minimum standard of knowledge. But some osteopathic physicians decided to sue to prevent this. You read that right- physicians sued their own organization so they wouldn’t have to demonstrate ongoing minimum levels of knowledge.
1)It’s too expensive- this one’s laughable. These are the same folks who regularly overspend on everything. They own boats, airplanes, second homes, girlfriends and wives. The idea that demonstrating their continued minimal competence is too expensive is simply a nauseating lie. It’s priorities. Patient care and professionalism isn’t a priority.
Just so we can put this into perspective (these are NOT poor people) let’s looks at physician compensation. Here’s the lowest offered base salary, NOT including bonus and benefits by specialty for 2017:
Cardiologists (noninvasive): $250,000
Emergency room physicians: $280,000
Family medicine physicians: $135,000
General Surgeons: $275,000
Internal medicine physicians: $195,000
Orthopedic surgeons: $350,000
I definitely think we should all shed a tear for those poor under-paid doctors.
2) It’s time consuming- true. But everyone has time constraints. Even elementary school teachers have continuing education requirements. They have less flexibility in their schedules, equally long hours and less money. This , again, is code for “I don’t want to do that because I’m an important doctor.”
3) It’s not relevant to the daily practice of medicine- really? The continuing education requirements and possibly testing establish a minimum standard. It’s not even good medicine just barely OK. Recall my previous post where I noted the pass rate for the ABIM exam. You have to be an idiot not to pass. Certification only matters if you’re not certified. You have to be too stupid, too lazy, or too incompetent to fail.
4) It may trigger licensure concerns. This may be valid. Maybe. But in most sates failing a certification exam should trigger competence concerns. Anyone who fails though can always go to Mississippi where the bar is set really low and anyone can get a license. Mississippi is 51st in healthcare for a reason. So fail the exam and move there.
5) Colleagues are uniting in opposition. I have to rely on my mother here. “If all your friends jumped off a bridge would you do that too?” There’s an enormous number of healthcare concerns doctors could unite over. Instead, doctors are rallying around a silly protest about demonstrating their competence.
Every doctor knows about certification and recertification. Once they get through the door though they get “into the dance” they think they can “make the band play whatever they want.” They’re wrong. It’s time doctors stop whining and start acting like professionals. We, consumers, have a say in this. If your doctor is not board certified, find a new one.