Tired of MOC??

[rexed]

Urgent - Help NBPAS Respond to the Vision Commission by Requesting a Moratorium on Onerous MOC Components National Board of Physicians and Surgeons

URGENT – HELP NBPAS RESPOND TO THE VISION COMMISSION BY REQUESTING A MORATORIUM ON ONEROUS MOC COMPONENTS


Dear Colleagues,

Last year, in response to a continued groundswell of MOC criticism, the ABMS formed an independent “Vision Commission” on MOC. On December 11th, 2018, after listening to 21 hours of testimony, the Vision Commission released its Draft Report. Although the draft accurately describes many MOC deficiencies, it contains little, if any specific, immediately actionable, recommendations for change. The Commission report clearly describes physician harm due to MOC. As physicians, we learn “first, do no harm.” Therefore, we believe it is essential the Commission recommend an immediate moratorium on several harmful components of MOC.

To review the commission’s draft report, CLICK HERE.

The Vision Commission requests public comment to the draft by January 15th, 2019. To provide your personal comments directly to the commission’s website, CLICK HERE.

To facilitate responses to the draft report, the National Board of Physicians and Surgeons (NBPAS) has created a prepared, online, petition-like comment you can quickly sign which we will submit to the commission. If you agree with the NBPAS comments, it will take you under 2 minutes to click and digitally sign the document.

To review and sign the prepared comment, CLICK BELOW. All you will be asked for is your name and state. While optional, we encourage you to note if you are a physician, and provide your email.

CLICK HERE TO REVIEW AND SIGN COMMENT
After submitting you will see the current tally

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[painfree23]

Is this for anesthesiology/ABA?

 

[DOctorJay]

Done. I’m NBPAS certified in PM&R and Pain. I’ve been pressuring my medical staff committee to accept NBPAS as well.


Sent from my iPhone using SDN

 

[hyperalgesia]

Wow, almost 15k respondents. That's pretty impressive.

 

[kstarm]

I talked with my hospital and they only except ABMS currently

 

[jonnylingo]

15,415 respondents, 100% agree. Awesome.

 

[drusso]

Wow, almost 15k respondents. That's pretty impressive.

Imagine what doctors could do if they could get 15K+ to protest other issues.

 

[hyperalgesia]

Imagine what doctors could do if they could get 15K+ to protest other issues.

Like we can start treating pts again and not treating administrators and bureaucrats and politicians? Count me in.

 

[lobelsteve]

Dear Colleagues,

The National Board of Physicians and Surgeons (NBPAS), as advocates for reasonable and appropriate certification of physicians, would like to update you on new developments relevant to Maintenance of Certification (MOC) process. Last week the final Vision Commission Report on MOC was released. To view: https://visioninitiative.org/wp-content/uploads/2019/02/Commission_Final_Report_20190212.pdf



As you know, NBPAS created a shared public comment to the draft report that recommended strengthening the Commission's recommendations to include, among other things, a moratorium on harmful MOC exams. Over 21,000 physicians signed the "petition-like" comment. To view the shared comment, click here: https://nbpas.org/respond-to-vision-commission-onerous-moc-components/



We believe our efforts had impact.



Of note, the Commission’s report recommends all ABMS boards move to assessments that are "formative" ("assessment of a physician with the primary purpose of providing feedback for learning and improvement...without passing judgement"), not "summative" ("assessment of learning with the primary purpose of establishing whether performance at a single defined point in time meets established performance standards, permanently recorded in the form of a score").



As examples, the Commission report is supportive of the anesthesia board's (ABA) MOCA Minute and the OB/GYN (ABOG) article-based assessments (both are formative) that have received encouraging feedback from diplomates, and is highly critical of the ABIM's new Knowledge Check-in tests (which is summative).



While the final report does not recommend a moratorium on "summative" exams, the report's recommendations are significantly strengthened to now include a timeline.



Page 9-10 : Short-Term and Intermediate Recommendations. Final paragraph: "Unlike initial certification, assessments for continuing certification should be formative...The Commission recommends that by the end of 2019 all ABMS Boards that have not moved to these types of assessments...submit a transition plan with milestones and timelines."



We also bring to your attention a very strong Vision Commission recommendation about the use of board certification status that could significantly mitigate physician harm from MOC:



Page 16: "ABMS must encourage hospitals, health systems, payers and other health care organizations to not deny credentialing or privileging to a physician solely on the basis of certification."



While not fully embracing our “petition,” we believe the Vision Commission report represents a significant step in the right direction. The over 21,000 physicians who signed the "petition" are to be congratulated. Those of you who signed positively influenced the final report.



We still have a long way to go, but at a minimum, NBPAS strongly urges all ABMS boards to immediately adopt the Vision Commission’s recommendations, especially the recommendation against the use of board certification status, or the lack thereof, to deny credentialing and privileging. One class action lawsuit has already been filed (against the ABIM) and there are indications of several more to come. NBPAS will be looking for significant announcements of change on the part of ABMS boards while carefully watching this litigation.



To learn more about obtaining Board Certification from the National Board of Physicians and Surgeons (NBPAS), visit our website NBPAS.org.



Sincerely,

Paul Teirstein, MD on behalf of the NBPAS Board

NBPAS, President

Chief of Cardiology, Scripps Clinic

 

[painfree23]

Dear Colleagues,

The National Board of Physicians and Surgeons (NBPAS), as advocates for reasonable and appropriate certification of physicians, would like to update you on new developments relevant to Maintenance of Certification (MOC) process. Last week the final Vision Commission Report on MOC was released. To view: https://visioninitiative.org/wp-content/uploads/2019/02/Commission_Final_Report_20190212.pdf



As you know, NBPAS created a shared public comment to the draft report that recommended strengthening the Commission's recommendations to include, among other things, a moratorium on harmful MOC exams. Over 21,000 physicians signed the "petition-like" comment. To view the shared comment, click here: https://nbpas.org/respond-to-vision-commission-onerous-moc-components/



We believe our efforts had impact.



Of note, the Commission’s report recommends all ABMS boards move to assessments that are "formative" ("assessment of a physician with the primary purpose of providing feedback for learning and improvement...without passing judgement"), not "summative" ("assessment of learning with the primary purpose of establishing whether performance at a single defined point in time meets established performance standards, permanently recorded in the form of a score").



As examples, the Commission report is supportive of the anesthesia board's (ABA) MOCA Minute and the OB/GYN (ABOG) article-based assessments (both are formative) that have received encouraging feedback from diplomates, and is highly critical of the ABIM's new Knowledge Check-in tests (which is summative).



While the final report does not recommend a moratorium on "summative" exams, the report's recommendations are significantly strengthened to now include a timeline.



Page 9-10 : Short-Term and Intermediate Recommendations. Final paragraph: "Unlike initial certification, assessments for continuing certification should be formative...The Commission recommends that by the end of 2019 all ABMS Boards that have not moved to these types of assessments...submit a transition plan with milestones and timelines."



We also bring to your attention a very strong Vision Commission recommendation about the use of board certification status that could significantly mitigate physician harm from MOC:



Page 16: "ABMS must encourage hospitals, health systems, payers and other health care organizations to not deny credentialing or privileging to a physician solely on the basis of certification."



While not fully embracing our “petition,” we believe the Vision Commission report represents a significant step in the right direction. The over 21,000 physicians who signed the "petition" are to be congratulated. Those of you who signed positively influenced the final report.



We still have a long way to go, but at a minimum, NBPAS strongly urges all ABMS boards to immediately adopt the Vision Commission’s recommendations, especially the recommendation against the use of board certification status, or the lack thereof, to deny credentialing and privileging. One class action lawsuit has already been filed (against the ABIM) and there are indications of several more to come. NBPAS will be looking for significant announcements of change on the part of ABMS boards while carefully watching this litigation.



To learn more about obtaining Board Certification from the National Board of Physicians and Surgeons (NBPAS), visit our website NBPAS.org.



Sincerely,

Paul Teirstein, MD on behalf of the NBPAS Board

NBPAS, President

Chief of Cardiology, Scripps Clinic

Tldr? What changed?

 

[clubdeac]

So will I have to take the pain board recertification exam in Sept 2019?!?