ABA announces 5 year recertification window instead of 10 year

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Arantius

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Thoughts?

Makes sense... If I was running the ABA I would make people recertify every 6 months and charge them a thousand dollars each time. These people are good entrepreneurs.
 
For those participating in MOCA, this will change little to nothing. You’re charged by the year, not by the cert, and the requirements over 5 years would presumably be half that of the 10 year cycle. Not an ABA stooge or anything, but this is what looks like will happen.
 
My understanding from reading the announcement was that this change was not decided at the ABA level, but rather at a level above even them... as required due to new "standards for continuing certification" put out by the American Board of Medical Specialties to go into effect in 2024. See #3 below.


General Standards​

Preamble​

The General Standards guide the continuing certification programs of the 24 ABMS Member Boards. These standards provide a framework for improving patient care through a meaningful process of ongoing professional development and assessment that is aligned with other professional expectations and requirements.

Requirements for Member Boards


1. Program Goals: Member Boards must define goals for their continuing certification program that address the overarching themes in the Introduction and each of the subsequent standards in this document. [Read Commentary]


2. Requirements for Continuing Certification: Member Boards must define the requirements and deadlines for each component of their integrated continuing certification program. [Read Commentary]


3. Assessment of Certification Status: Member Boards must determine at intervals no longer than five years whether a diplomate is meeting continuing certification requirements to retain each certificate. [Read Commentary]


4. Transparent Display of Certification History: Member Boards must publicly display and clearly report a diplomate’s certification status and certification history for each certificate held. Member Boards must change a diplomate’s certificate(s) status if any requirements (either a performance or participation requirement) in their continuing certification program are not met. Changes in the status of a certificate must be publicly displayed, including any disciplinary status. Member Boards must use common categories for reporting the status of certificates, with such categories being defined, used, and publicly displayed in the same way. [Read Commentary]


5. Opportunities to Address Performance or Participation Deficits: Member Boards must provide diplomates with opportunities to address performance or participation deficits prior to the loss of a certificate. Fair and sufficient warning, determined by each Member Board, must be communicated that a certificate might be at risk. [Read Commentary]


6. Regaining Certification: Member Boards must define a process for regaining certification if the loss of certification resulted from not meeting a participation or performance standard. [Read Commentary]


7. Program Evaluation: Member Boards must continually evaluate and improve their continuing certification program using appropriate data that include feedback from diplomates and other stakeholders. [Read Commentary]


8. Holders of Multiple Certificates: Member Boards must streamline requirements for diplomates who hold multiple certificates, to minimize duplication of effort and cost. [Read Commentary]


9. Diplomates Holding Non-time-limited Certificate: Member Boards must have a process by which non-time-limited certificate holders can participate in continuing certification without jeopardizing their certification status. [Read Commentary]

 
The one new Standard that may cause concern among our diplomates is the requirement that the ABA renew certificates every five years rather than every 10 years. In practice, this change will have minimal impact on diplomates as our current continuing certification program already requires completion of continuing medical education and quality improvement activities every five years, and requires annual completion of MOCA Minute questions.



The new Standards also aim to promote activities that help physicians enhance their medical knowledge and promote exceptional patient care, while affirming our commitment to maintaining high standards for board certification. In many instances, the standards affirm innovations pioneered by the ABA. For example, the new Standards endorse longitudinal assessment (e.g., MOCA Minute), which emphasizes clinically impactful learning, practice-specific content and regular feedback, rather than periodic high-stakes, multiple choice tests. The Standards also support collaboration with societies and other stakeholders similar to the ABA’s work with the American Society of Anesthesiologists in 2021 to begin offering CME credit for MOCA Minute participation.



As the ABA prepares to transition from a 10-year to a five-year cycle to meet the Jan. 1, 2024 implementation deadline, the goals of improving care to the patient and of minimizing the administrative and financial burden on diplomates will be at the forefront. The ABA will continue to collaborate with physicians and keep them informed as continuing certification evolves to conform with the new Standards.
 
For those participating in MOCA, this will change little to nothing. You’re charged by the year, not by the cert, and the requirements over 5 years would presumably be half that of the 10 year cycle. Not an ABA stooge or anything, but this is what looks like will happen.
so then how does this make us more "reliable"? If there's no change to the requirements what is the point of this
 
This is the price of admission to being a practicing anesthesiologist. Lots of keyboard warriors on here, but the reality is that 99.9% of us will continue on as if nothing has changed. I agree that the ASA should be doing more overt advocacy on behalf of our specialty. This, however, was a mandate from higher up than the ASA and thus .... take a deep breath and move on.
 
so then how does this make us more "reliable"? If there's no change to the requirements what is the point of this

The point of it is simply complying with ABMS standards that are changing.

That's it.

The actual MOCA will likely remain identical in cost and structure.
 
I’d like them to be stricter for anesthesiologists turn admin (or any other speciality). Saying if they don’t do at least 24 hours clinical work per week. They lose their board certifications. These days most admin barely do 8 hours (that’s the bare minimum to determine “competency”

And they can’t sit on any ABA board or similar boards.

This will get rid of 70% of those who sit on these boards.
 
I’d like them to be stricter for anesthesiologists turn admin (or any other speciality). Saying if they don’t do at least 24 hours clinical work per week. They lose their board certifications. These days most admin barely do 8 hours (that’s the bare minimum to determine “competency”

And they can’t sit on any ABA board or similar boards.

This will get rid of 70% of those who sit on these boards.
I wish that's how the world works
 
My guess is, lots of guys in their late 50’s/early 60’s/etc, with retirement staring them in the face, who might have hung in there for an extra year or two (if on a 10 year cycle), might just throw in the towel if they know they their 5 years is about up, and they have to jump through a bunch of hoops to renew for ANOTHER 5 years, JUST to work that extra year or two.
 
My guess is, lots of guys in their late 50’s/early 60’s/etc, with retirement staring them in the face, who might have hung in there for an extra year or two (if on a 10 year cycle), might just throw in the towel if they know they their 5 years is about up, and they have to jump through a bunch of hoops to renew for ANOTHER 5 years, JUST to work that extra year or two.
Is it really going to be a ton of extra hoops, or the exact same requirements that we have now, but we're going to call it a 5-year certification, rather than a 10-year (where we already effectively recert every 5)?
 
Is it really going to be a ton of extra hoops, or the exact same requirements that we have now, but we're going to call it a 5-year certification, rather than a 10-year (where we already effectively recert every 5)?

it is the same number of hoops because in the current 10 year cycle it is broken down into a pair of 5 year stretches that each have their own requirements
 
Can't those people close to retirement as described above just go to their group, hospital, whatever and be like "look, I've been working here 5, 10, 20 years or whatever. You know I'm a solid anesthesiologist. I want to keep working but I'm not renewing my board certification. Feel free to keep me on without it, but otherwise I'll be fine without you."
 
it is the same number of hoops because in the current 10 year cycle it is broken down into a pair of 5 year stretches that each have their own requirements
That was my take on it as well. However, people with subspecialty certifications may face additional challenges depending on the subspecialty. There is at least one that the ABA partners with ABIM on. How that cert will marry up with MOCA 5 year cycles has not been announced that I know of.
 
Can't those people close to retirement as described above just go to their group, hospital, whatever and be like "look, I've been working here 5, 10, 20 years or whatever. You know I'm a solid anesthesiologist. I want to keep working but I'm not renewing my board certification. Feel free to keep me on without it, but otherwise I'll be fine without you."
Some places will give short term exemptions if it is months to a year and retirement is on the horizon. I think beyond one year, it will become increasingly uncommon.
 
Some places will give short term exemptions if it is months to a year and retirement is on the horizon. I think beyond one year, it will become increasingly uncommon.

There are ways to string it out. Often doesn’t come up until one’s next recredentialing. Often every third year or so. Then ask for an exception? If no maybe an extension, then go through cosmetic efforts for awhile, letter of concern- ignored. Threatening letter- give notice of retirement. Not guaranteed, but stuff like this is often effective if one has been there a long time without the wrong enemies.
 
Can't those people close to retirement as described above just go to their group, hospital, whatever and be like "look, I've been working here 5, 10, 20 years or whatever. You know I'm a solid anesthesiologist. I want to keep working but I'm not renewing my board certification. Feel free to keep me on without it, but otherwise I'll be fine without you."

People that are close to retirement are already grandfathered in to not have to renew
 
People that are close to retirement are already grandfathered in to not have to renew
I think anyone certified after 1999 has to renew their cert. Someone who became board certified in 2000 is 50 y/o, now. I expected my re-cert at 50, to carry me to age 60. Now it’ll just be to age 55.
 
Still don't understand how those old geezer anesthesiologists got away from being grandfathered in, while the rest of us get screwed by this bs moca
Because the certification that we signed up for and ABA advertised was not "time limited". The prospect of 10,000+ angry, inflamed, educated, well funded physicians who were willing to make things adversarial was not something that ABA/ASA wanted to entertain. Don't worry, we will be gone or disempowered soon enough.

BTW, one day you too will be an old geezer who the younger folks diss.
 
When Board Certification was rolled out, it was not meant to be a minimum standard or necessity to practice. It was intended as a mark of distinction.
It is well on its way to becoming nothing more than an expensive, time consuming, meaningless rubber stamp.
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When Board Certification was rolled out, it was not meant to be a minimum standard or necessity to practice. It was intended as a mark of distinction.
It is well on its way to becoming nothing more than an expensive, time consuming, meaningless rubber stamp.

To be fair k type questions are really hard.
 
I think anyone certified after 1999 has to renew their cert. Someone who became board certified in 2000 is 50 y/o, now. I expected my re-cert at 50, to carry me to age 60. Now it’ll just be to age 55.
Assuming you got into this field reasonably young....
I didn't 😭
 
Still don't understand how those old geezer anesthesiologists got away from being grandfathered in, while the rest of us get screwed by this bs moca
Hey, those are the two LUCKY groups of anesthesiologists. Try being an old geezer AND screwed by MOCA!!!
 
When Board Certification was rolled out, it was not meant to be a minimum standard or necessity to practice. It was intended as a mark of distinction.
It is well on its way to becoming nothing more than an expensive, time consuming, meaningless rubber stamp.

except it is required to get reimbursed by insurance companies for your services
 
except it is required to get reimbursed by insurance companies for your services


Not sure about that. We are a large group on a lot of insurance panels and we always have young, not yet certified partners in the process. I may be ignorant but I don’t know of a single case where we weren’t paid because the doctor was not certified. I don’t even know if insurance companies ever check to see if the doc submitting the bill is certified.
 
How do I get a 5 year certification? Let's say I don't need a 10 year certification can a person just do years 1-5 and then be recertified for 5 years?
 
Not sure about that. We are a large group on a lot of insurance panels and we always have young, not yet certified partners in the process. I may be ignorant but I don’t know of a single case where we weren’t paid because the doctor was not certified. I don’t even know if insurance companies ever check to see if the doc submitting the bill is certified.

It is board certified/eligible that is the requirement. Generally have 3 years after residency to get certified or you are no longer eligible. If you are no longer eligible to be boarded, you probably won't be getting paid.
 
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