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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
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April 11-13, 2019
Internal Medicine Meeting 2019
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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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'Graduate Medical Education That Meets the Nation's Health
David A. Fleming, MD, MA, FACP
President of the American College of Physicians
July 31, 2014
(Washington) - The American College of Physicians (ACP)
appreciates the Institute of Medicine (IOM) efforts to review the
governance and financing of graduate medical education (GME). It
agrees that the nation's investment in GME should be used to train
physicians with the right numbers, mix, and distribution of
specialties and practice location and skills needed to meet the
nation's healthcare workforce needs. We applaud the IOM for its
emphasis on innovation, transformation and accountability.
ACP is very concerned, however, that the IOM did not make
recommendations that address the nation's looming physician
workforce crisis. We are particularly concerned that the IOM stated
that it "did not find credible evidence" to support claims that the
nation is facing a looming physician shortage, particularly in
primary care specialties. Paradoxically, the IOM also suggested
that "GME funds might be used to finance new incentives for
choosing a primary care career," even as it questioned whether a
primary care shortage exists. Although we concur with the IOM that
more research is needed to guide physician workforce policies and
that incentives, including payment reform, are needed to encourage
careers in primary care, we believe there is credible evidence of a
real and growing shortage of primary care physicians for adults
warranting immediate action. It is estimated by highly credible
analyses that the nation will need 44,000 - 46,000 additional
primary care physicians by 2025. This figure does not take into
account the increasing demand for primary care services as an
estimated 25 million uninsured Americans will obtain coverage
through the reforms in the Affordable Care Act. There is also solid
evidence that access to primary care is associated with better
outcomes and lower cost of care.
In order to reform the nation's health care delivery system to
better manage chronic conditions and keep patients from requiring
hospitalization, an adequate supply of primary care physicians who
can function with specialists and other health professionals as
part of a team to manage a patient's whole health will be critical.
ACP supports strategic increases in the number of Medicare-funded
GME positions in primary care and other specialties facing
shortages including many internal medicine subspecialties.
ACP agrees with the IOM that GME is a public good- it benefits
all of society, not just those who directly purchase or receive it.
We are disappointed that the IOM did not call for an all-payer GME
financing system to support this public good.
ACP joins with the IOM in its call for innovation and
transformation in GME, including a greater emphasis on training in
community-based settings, but we are very concerned that reducing
GME payments to existing programs to fund innovation and
transformation could do great harm to the educational mission of
many teaching hospitals and the patients they serve.
We also agree with the IOM that it is critical that GME policy
be aligned with the nation's workforce policies. Millions of
Americans do not have adequate access to health care services,
physicians are not optimally distributed among specialties or
geographically, and numerous studies warn of an impending physician
ACP will be reviewing the IOM report in greater detail, offering
our suggestions in the spirit of building upon the many imaginative
reforms recommended in the report. We will also continue to
advocate for policies to ensure an adequate supply of physicians to
meet the nation's health care needs, including strategic increases
in the number of Medicare-funded GME positions in primary care and
other specialties facing shortages.
The American College of Physicians is the
largest medical specialty organization and the second-largest
physician group in the United States. ACP members include 141,000
internal medicine physicians (internists), related subspecialists,
and medical students. Internal medicine physicians are specialists
who apply scientific knowledge and clinical expertise to the
diagnosis, treatment, and compassionate care of adults across the
spectrum from health to complex illness. Follow ACP on Twitter and Facebook.
David Kinsman, (202) firstname.lastname@example.org
Jacquelyn Blaser, (202) email@example.com