D
deleted87716
I think you mean www.changeboardrecert.com
Seems mostly concerned with ABIM, which I have no interest in.
I think you mean www.changeboardrecert.com
Seems mostly concerned with ABIM, which I have no interest in.
The market mostly does decide about this. Until very very recently, no one forced hospital/insurance credentialing people to only accept board certified doctors. Now, you can argue the ABMS tricked them into this but that's how the free market works.I don't necessarily disagree with you. If you like to get your education through SAM and Exams etc. That's great. But there is no evidence that shows it is more effective than other forms of getting your education.
I say let the market decide what works.
Your examples of poor management are good but that poor management happens all the time with board certified doctors. In fact one can argue that most medical mistakes happen by board certified doctors since most doctors are board certified.
In general, if we want board certification to have true meaning and move towards true improvement of quality we have to change the way it's done. We don't have to eliminate it.
Taking an exam once every ten years on topics that a doctor may not even practice any longer is not good quality care. They just take a board review course and pass and then forget all the garbage they had to learn because they don't do it in their practice.
Things have to get customized for re-certification. CME can be changed to get more interactive etc. These are just examples. But the current state of passing a test and taking a sam etc. does not improve quality and has never been shown to do that. Majority of the studies done on this are done by ABMS and its board. There is a major conflict of interest.
So I and thousand like me currently fighting this are not getting hysterical. We are just not willing to let someone control us for money. Why should we give them our time and hard earned money so they can get rich on our back for an exam that has no proof of value. Remember these are a small group of academic doctors that run the show and pay themselves over 500000K per year to do this. Some over 1 million.
They keep talking about evidence based medicine but don't have any evidence for their own exams.
The market mostly does decide about this. Until very very recently, no one forced hospital/insurance credentialing people to only accept board certified doctors. Now, you can argue the ABMS tricked them into this but that's how the free market works.
We also don't have any evidence that SAMs are inferior to just CME.
In fact, we have very little evidence for much of what we do. If it seems like a good idea and isn't proven harmful, I don't see the issue.
Prove it. I see no evidence the ABFM is the most egregious of what the ABIM was doing.1. It does not matter if we are not abim. We are doctors. this is going to happen to all of us. One step at a time they move forward.
2. We are forced to do this. If we don't get certified we don't get paid or hired by hospitals and insurance. The free market did not do this. It was ABMS with millions of money extorted from doctors and strong lobby efforts that did this. The free market had very little to do with this.
3. It's not benign. And even if it was just because something does not hurt doesn't mean it's good for you.
4. It's not just Paul Kempen. It's thousands of other doctors. We are fed up with being controlled by academic doctors who don't even see patients but feel they know what is best for us.
Prove it. I see no evidence the ABFM is the most egregious of what the ABIM was doing.
Funny, I'm pretty sure strong lobbying efforts are free market. If it wasn't, then the lobbying efforts of these thousands of doctors wouldn't be allowed. Plus, aren't you the same guy who was crowing about a non-BC doc with a super successful DPC practice? Seems an easy way out that ignores hospitals and insurance requirements.
What do you have as a better idea then? And don't say just more CME, that's not a good solution. We had that once, and that's why we now have board cert and MOC.
I see 2 private practice doctors right here that don't seem to mind it.
For what its worth, I am doing DPC and still plan to maintain board certification. Blue Dog is one of the fewer and fewer docs who isn't owned by the hospitals. Seems to me we are the ones most likely to buck authority that we think is harmful.Yes, two of your buddies in here.
Yes, I would do DPC and cash when the time is right. So what? I don't believe we need any of these tests to be a good doctor. DPC easily ignore hospital and insurance so perfect it works. Take their power away all at once. Then they come asking us for help not the other way around. The reality is they need us more than we need them. But with BC garbage they have managed to change the rules and control us. Lobbying is free market but the part thats not is the extortion from the boards and the money from that that goes into it.
I never said abfm was the most egregious. I said ABMS and all it's boards have created a situation that forces doctors to comply like puppets. A bunch of useless academic doctors who don't practice medicine and think they can dictate how physicians should run their practice. Some of them aren't board certified themselves or are and were grandfathered in. How pathetic.
But if you want to do it go right ahead. I never said you shouldn't. I said I'm going to do it differently because I don't believe in it.
Someone in here was upset at me for talking about board cert. because of the young mds and the residents being impressionable. But at the same time someone in here said they are in the top 2% of intelligence. So if they are that smart they will be able to figure it out. We don't need to baby them. That would be pompous and arrogant making us look like twits.
Yes, two of your buddies in here.
There are only a couple of people on SDN that I've met IRL, and they aren't on this thread.
That being said, if I met cabinbuilder, JustPlainBill, or VA Hopeful Dr at a party, I'd buy them a drink. I have a feeling that if I met you at a party, I'd have to do a fake page to escape.
For what its worth, I am doing DPC and still plan to maintain board certification. Blue Dog is one of the fewer and fewer docs who isn't owned by the hospitals. Seems to me we are the ones most likely to buck authority that we think is harmful.
As I said, the ABFM isn't perfect but no one has yet given a better solution. Purely relying on CME doesn't seem to work that well.
I was the one making the comment about students and residents. Just because students and residents are smart doesn't mean they have the experience to judge things that will affect their careers from the get-go. Let them get out into practice, being board certified, then see if its worth it to them. Its better to be as completely certified/trained/whatever at the beginning and then to decide later on that you can get away with less than the other way around once you're out in practice.
Yeah, I only actually know who like 2-3 people here are in real life and have met only one of them - and Josh doesn't exactly hide anything about his identity so I'm not sure that counts.There are only a couple of people on SDN that I've met IRL, and they aren't on this thread.
That being said, if I met cabinbuilder, JustPlainBill, or VA Hopeful Dr at a party, I'd buy them a drink. I have a feeling that if I met you at a party, I'd have to do a fake page to escape.
There are only a couple of people on SDN that I've met IRL, and they aren't on this thread.
That being said, if I met cabinbuilder, JustPlainBill, or VA Hopeful Dr at a party, I'd buy them a drink. I have a feeling that if I met you at a party, I'd have to do a fake page to escape.
Hi guys, hope you all doing good.
I was successfully working as a PGY-2 IM resident. I competed PGY-1 and 9 months of PGY-2. I have been recently dismissed/ let go from the program because of Crossing the line of professional behaviour. Right now, I am going through the process of getting the medical board license. In the mean time, I am looking for open spots for PGY-2 and PGY-3 Internal and Family medicine. I read pretty much all the discussion above but Being at my position, I am very nervous about my career.
Is there any one who has been through my position?
Has anyone started working after getting the medical license? If yes? How easy it is to get any job and how much do one get pay?
I appreciate your opinion. I am just being honest.Not going to lie - I'm most concerned about the "crossing the line of professional behaviour." I worry for your future patients and depending on what it was, I would have serious reservations about taking you as a resident in another program.
There are a few posts around here about alternative careers including wound care.
My usual approach as well, and the vast majority are usually fine since we all make mistakes or BS consults every now and then. I'm still just pissed at the one asshat who called me back after seeing the patient I sent over to berate me.
Hi guys, hope you all doing good.
I was successfully working as a PGY-2 IM resident. I competed PGY-1 and 9 months of PGY-2. I have been recently dismissed/ let go from the program because of Crossing the line of professional behaviour. Right now, I am going through the process of getting the medical board license. In the mean time, I am looking for open spots for PGY-2 and PGY-3 Internal and Family medicine. I read pretty much all the discussion above but Being at my position, I am very nervous about my career.
Is there any one who has been through my position?
Has anyone started working after getting the medical license? If yes? How easy it is to get any job and how much do one get pay?
I was fresh out of residency and still somewhat unsure of myself. Your approach is exactly what I started doing with that guy after that.Old thread, but I find a “you and I aren’t gonna talk about this” followed by an “I’m gonna hang up now” to work wonders with idiots like that.