I have to disagree. The relevancy of the APA diminishes as you get further and further from training, especially if you are a "boots on the ground" clinician (which most docs are) and not a full time academic or researcher. Also, if you really look at who is "writing the law" it's not the law makers - it's the lobbyists and APA can't financially compete with the pharmaceutical and insurance company industry. It's probably to APA's advantage to work with those competing interests, but they won't advertise that part of their political work. Also, look at the ABMS MOC nonsense as a prime example of how APA is failing it's members. APA backed down from that pretty quickly once the current president took over (she has ties to the current ABPN CEO, so does the recent AACAP president), and much of MOC was pushed into the Affordable Care Act by ABMS' own lobbying (which they're not supposed to do since they are technically a non-profit). It's gross from all sides. Even on the local level, I tried to participate but it ends up just feeling like a bunch of adults playing student government to see who is the most popular. The APA isn't there for you, they're there for themselves, struggling to stay relevant in any way possible. This will become clearer once you are out of training 2 or 3 years and are board certified.