You are using an outdated browser. Please upgrade your browser to improve your experience.
Become a Fellow
ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
Earn MOC points
The most comprehensive meeting in Internal Medicine.
April 11-13, 2019
Internal Medicine Meeting 2019
Prepare for the Certification and Maintenance of Certification (MOC)
Exam with an ACP review course.
Board Certification Review Courses
MOC Exam Prep Courses
Treating a patient? Researching a topic? Get answers now.
Visit AnnalsLearn More
Visit MKSAP 17 Learn More
Visit DynaMed Plus
Ensure payment and avoid policy violations. Plus, new resources to help you navigate the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Access helpful forms developed by a variety of sources for patient charts, logs, information sheets, office signs, and use by practice administration.
ACP advocates on behalf on internists and their patients on a number of timely issues. Learn about where ACP stands on the following areas:
© Copyright 2018 American College of Physicians. All Rights Reserved. 190 North Independence Mall West, Philadelphia, PA 19106-1572
Toll Free: (800) 523.1546 · Local: (215) 351.2400
Some random thoughts while watching the Rose Bowl and waiting
for the next consult . . .
We hear a lot about changing the compensation formula for
physicians from a volume-based system to one rewarding value. That
idea seems attractive on the surface. If successfully implemented,
it might help enable us to provide quality, comprehensive care for
patients, which they demand and deserve. On the other hand, I've
seen little evidence that volume pressures will diminish
significantly in the near future. I suspect that the modest income
supplements afforded by so-called "pay for performance"
will not lead to spending more time with individual patients. There
are a number of reasons for this: a growing primary-care manpower
shortage; an increase in the number of patients entering the
healthcare system; and the rising pressures placed on salaried
physicians by hospital administrators desperate to maintain their
My biggest problem with value-based compensation, though, is the
definition of "value". Are we talking about value to
patients? The value benchmarks, at least for hematology, set an
embarrassingly low bar for quality. Instead, they promote the
one-size-fits-all, cookbook approach to care. They do not begin to
assess the clinical judgment of internists and subspecialists.
Furthermore, there is a dearth of evidence that meeting these
benchmarks actually improves the quality of care delivered to
patients. My fear is that value will inevitably become defined more
by cost-savings to institutions and third-party payers than by
quality of patient care.
ACP has long championed the concept of the patient-centered
medical home for primary care internists and, for subspecialists,
the PCMH "neighborhood". This is an approach to value-based care
that changes compensation formulas for physicians and arguably
provides better, more comprehensive care to patients with some cost
savings. While the PCMH has not yet gained great traction in
Delaware, some small groups are moving in this direction. Feedback
I've received from a few primary care internists, however, points
out the formidable up-front costs and increased administrative
burdens needed to establish such a program. To help internists with
this transition, ACP has developed ACP Practice Advisor, an online
tool. I encourage you to access the ACP website for more
information. To date, more than 5,000 primary care practices
nationwide have adopted this model and patient satisfaction has
Finally, let me encourage all of you to attend our annual
chapter meeting February 22. Jim
Ruether has put together a terrific scientific program.
(Here is the program and registration
information.) Our guest speaker from the National ACP
Washington Office is Bob Doherty, Senior
Vice-President for Government Affairs and Public Policy. Bob will
give us an update, in his usual dynamic fashion, of the trials and
tribulations of the ACA rollout and ongoing implementation. Prior
to the meeting, let me refer you to his postings on The ACP
Advocate Blog, which can be accessed from the ACP website. His most
recent posting is a priceless parody entitled, "The Twelve
Weeks of Obamacare". Those of us who favor universal
healthcare, and believe that the Affordable Care Act is an
important, if flawed, first step, have to be able to laugh at
ourselves. I have to believe it will get better.
What encapsulated organism can lead to life threatening
complications in patients treated with Eculizumab? Answer: What is
What cardiac disorder is associated with almost complete absence
of the right ventricular myocardium, normal tricuspid valve, and
preserved septal and left ventricular myocardium? Answer: What is
These were just a small sample of some of the questions
confronting the Department of Medicine's Jeopardy team from
Christiana Care this past fall. On October 30, 2013, Drs.
Mike Gross, Reena Mascarenhas, and Usman
Choudhry made their way to Einstein Medical Center in
Philadelphia. Akash Sethi was the alternate. The questions flew
fast and furious; and, while many in the audience concurred that
some of the questions seemed esoteric to say the least, a good time
was had by all. The team did well on the hot seat with hands close
to buzzers staring down their competitors. At the end of the first
round, however, Christiana was defeated but not broken.
"Jeopardy" is a team event and it's the camaraderie of the
team that makes preparing for the event and then actually being
there in all the excitement a fun time.
From left to right: Matthew Burday, DO; Donald Slack, MD;
Michael Gross, MD; Tresa Mascarenhas MBBS; Usman Choudhry, DO
From left to right: Heather Ragozine, MD (head down); Usman
Choudhry DO MPH; Tresa Mascarenhas MBBS; Michael Gross MD
In the end, Einstein took home the winning trophy. In addition
to Christiana (the only team outside Pennsylvania), teams competing
came from Penn, Jefferson, Abington, Crozer, Pennsylvania Hospital,
Drexel, Lankenau, and Temple.
We are looking forward to next year and hope to advance further!
Piebaldism and Cameron ulcers here we come!
The ACP Leadership Academy is ACP's new leadership development
program designed to provide early-career internists with the skills
and knowledge necessary to become leaders in medicine.
The program's first offerings will be live and online courses
offered in partnership with the American College of Physician
Executives (ACPE), the nation's largest health care organization
for physician leaders. These courses are eligible for CME credit
through the ACPE and were selected to provide episodic leadership
training for members wanting to brush up on a specific content
area. Participants can put these courses toward earning a
nationally recognized leadership certificate from the ACPE and can
also roll course credits into advanced degree programs from
accredited universities. ACP members will receive a 15% discount on
In addition to these courses, in coming months, the ACP
Leadership Academy will begin offering additional, informal
leadership development opportunities via other College-wide
vehicles to enhance the formal coursework.
The new ACP Leadership Academy replaces ACP's Leadership
Enhancement and Development (LEAD) program. Members currently
pursuing an ACP LEAD Certificate must declare their intent to
complete the requirements by e-mailing ACP by Dec. 31, 2013.
To earn a LEAD certificate, you must participate in 5 out
of 7 LEAD activities and complete your application by June 30,
2014. Former ACP LEAD certificate recipients and members
who have completed some but not all of the requirements for a LEAD
certificate may transfer up to 22 credits toward completion of the
prerequisites for ACPE's certificate by June 30, 2014. To determine
how many credits you may transfer, please e-mail ACP by Dec. 31,
2013. Applications for ACP's LEAD certificate or transfer of
credits will not be accepted after this date.
More information, including a list of courses and LEAD
transition information, is online.
Advisor continues to improve and expand. First offered as
Medical Home Builder, the online tool provides practice assessment
based on national standards related to PCMH and the input of
experts, contains content on a wide variety of topics, and hosts a
large library of resources to be used by practices interested in
improving their clinical and practice operations. In addition, MOC
"self evaluation of practice performance" points are available at
no additional charge. If you are unfamiliar with Practice Advisor,
please register for a free
To help prepare young physicians for their roles in contemporary
practice, the American College of Physicians is offering Practice
Advisor to internal medicine residency training programs at no
To set up account or to ask questions, please contact
Woodward or firstname.lastname@example.org.