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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.
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ACP advocates on behalf on internists and their patients on a number of timely issues. Learn about where ACP stands on the following areas:
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Maintenance of Certification (MOC) remains the greatest single
concern of our members as well as the ACP Board of Governors. Last
year, the ACP Board of Governors passed a resolution directly the
ACP leadership to address the ACP members' concerns regarding MOC
with the ABIM. Although discussions with the ABIM began early last
summer almost as soon as the ACP resolution passed, the discussions
were tenuous and slow going initially. The ACP was instrumental in
getting the ABIM to reassess the MOC program which resulted in
significant changes which were announced this January including the
revision of the actual exam to be more clinically relevant to
practicing physicians and suspension of the patient voice and
practice assessment programs while they are reanalyzed. The ACP
continues to be engaged in a dialogue with the ABIM during this
retooling process and is committed to making is members voices
At the state level, I continue to work with Dr. Tracy
Ragland of the Greater Louisville Medical Society
multi-specialty advocacy group on legislative issues that affect
our ability to practice and care for our patients. We are fortunate
to have ACP member Dr. Ralph Alvarado (R) serving
as a first term senator in our legislature. Ralph has already
introduced SB 58 to keep the medical board from using MOC or
maintenance of licensure (MOL) as part of Kentucky's licensing
requirements. Without such legislation MOC or MOL will become the
de facto standard for continuing medical education. To receive
email updates regarding SB 58 or other healthcare related bills by
registering for Bill Watch.
Our annual meeting in September was a great success with several
new offerings include a Maintenance of Certification on Update in
Internal Medicine, over 60 student and resident research posters,
presentations by Dr. Daisey Smith for the ACP on High Valued Care
and How to Incorporate High Valued Care into Training Curriculum
for program directors, Medical Jeopardy Competition and our annual
awards dinner. While this was our most ambitious annual meeting
ever, we are already working on improving the meeting for 2015.
Finally, please take time to register for Internal Medicine 2015
if you have not already done so. The ACP continues to host internal
medicine's premier meeting. We will be sponsoring our first ever
team for the national Doctor's Dilemma completion and I hope you
get a chance to see them in action during the competition. We will
once again host a reception along with Tennessee and North Carolina
for those attending. I look forward to seeing you in Boston.
Phillip F. Bressoud, MD, FACP
I hope by now you have seen the email that was recently sent by
Dr. Richard Baron, ABIM President, to all ABIM
diplomats about Maintenance of Certification (MOC). Clearly the "We
got it wrong" was an admission that the process was broken. The
ABIM has already suspended the Patient Safety, Practice Assessment
and Patient Voice requirements for two years. While there remain
significant problems with the recertification examination, it is a
major step in the right direction. Significant changes are being
made to the recertification examinations to make the more relevant
to everyday practice.
While versions of MOC exist around the world, the United States
is the only country that requires their physicians to pass
recertification examinations to maintain their board certification.
Unfortunately, the pass rate on the examination declined over
several years bottoming out at 67% in the spring of 2014 for first
time recertification. Although, the pass rate for the fall 2014
group improved to 79%, it still means that 1 in 5 practicing
physicians failed the exam. The ABIM has advocated that board
certification is not required to practice and loosing board
certification should not be an issue for practicing physicians. The
ABIM's anachronistic view of importance of board certification and
licensure exemplifies just how detached the ABIM is from the
reality of the profession. The ABIM has no idea how their decisions
and processes have turned the lives of physicians upside down and
in some cases ruined their careers and livelihoods.
Last year the Board of Governors of the ACP passed resolutions
calling for the ACP to engage the ABIM in frank discussions to
reform the MOC process or seek an alternative method of board
certification. ACP has long supported the principle of maintenance
of certification and the importance it places on lifelong learning,
physician accountability, and demonstration of ongoing competence.
The ABIM recommended that the ABIM address problems with the MOC
process in 4 areas:
It appears that the ABIM is finally listening and making
significant and meaningful changes to the MOC program. Although the
MOC recertification exam hasn't been eliminated, the ABIM has begun
to make significant and meaningful changes to the program. There is
still much to do at the national and state level regarding MOC. As
your Governor I will continue to advocate on your behalf for MOC
reform at both the state and national level.
I am pleased to announce that former Chapter Governor,
Dr. Joseph Weigel (Somerset, KY), is our chapter's
newest Master of the College. Joe is a 1981 graduate of the
University Of Louisville School of Medicine and trained at
University of Alabama- Birmingham before returning to his hometown
of Somerset, KY to practice general internal medicine for the next
30 years. While maintaining a busy practice, Dr. Weigel served as
an assistant clinical professor at UofK and UofL as well as the
Lincoln Memorial Debusk College of Osteopathic Medicine. In
addition to his professional activities, Joe is an avid runner.
While many would consider slowing down or even retiring, Dr.
Weigel has taken his passion for teaching and is now the training
program director for a new Osteopathic Internal Medicine Residency
Program at Lake Cumberland Regional Hospital.
Dr. Weigel joins the chapter's 5 other Masters: Dr.
David Bybee (Louisville), Dr. Harry
Carloss (Paducah), Dr. James Holsinger
(Lexington), Dr. Albert "Cap" Hoskins and
Dr. Richard Redinger (Louisville).
Value Care Coordination Toolkit features resources to improve
referrals and care coordination between primary care physicians and
specialists, eliminate waste and duplicative care, and create more
efficiency in care delivery.
The toolkit was developed collaboratively through ACP's Council
of Subspecialty Societies (CSS) and patient advocacy groups. CSS
acts as a forum for the exchange of ideas between ACP and
subspecialty organizations on matters affecting medicine in general
and subspecialty societies in particular.
The High Value Care Coordination Toolkit includes 5
These resources are part of ACP's High Value Care initiative, which
is designed to help doctors and patients understand the benefits,
harms, and costs of tests and treatment options for common clinical
issues so they can pursue care together that improves health,
avoids harms, and eliminates wasteful practices.
At the Fall Chapter meeting, we held our first Doctor's Dilemma
(Medical Jeopardy) competition. Three teams (One from UK and two
from UofL) competed to earn the right to represent the Kentucky
Chapter at the national doctor's dilemma competition. The winning
team from UofL composed of Drs. Udit Chaddha, Justin
Kingery, Amrik Ray and Rahul Sinha will
represent our Chapter at the national meeting in Boston, MA in May.
Please look for Doctor's Dilemma sessions during the annual meeting
and cheer our team on.
I would encourage you to consider attending and registering
now for the best selection of pre-courses, CME and MOC courses,
reserved sessions and hotel rooms. I look forward to meeting seeing
you in Boston.