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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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Peer-reviewed series of patient vignettes focuses on
clinical value of selected tests in specific scenarios in an
evidence-based and common-sense way
Philadelphia, August 4, 2014 -- The American College of
Physicians (ACP) and Cleveland Clinical Journal of
Medicine (CCJM) have collaborated to create a new series,
to help physicians provide High
Value Care by presenting clinical scenarios in which diagnostic
tests are commonly ordered in the absence of supporting data. The
articles use evidence-based recommendations to clarify when testing
"The Institute of Medicine has estimated that $765 billion is
wasted annually in the United States on care that provides no value
to patients," said Dr. David Fleming, president of ACP. "Smart
Testing clinical vignettes and discussions illustrate the
appropriate use of imaging tests and other diagnostic procedures,
of which overuse and misuse account for an estimated $210 billion
of our wasted health care dollars."
Dr. Patrick Alguire, senior vice president for medical education
at ACP, notes in an introduction to the periodic CCJM series that
spending on imaging procedures and diagnostic tests has
"skyrocketed, with a cumulative increase of approximately 90% from
2000 to 2009. Despite our extensive use of diagnostic imaging and
other testing, the US population does not benefit from better
health or longer life than other industrialized nations."
Dr. Brian Mandell, CCJM editor in chief, admits in a
commentary about the series that he "may bristle when
someone, often for cost reasons, questions the necessity of a
diagnostic test that I have ordered to help me understand a
clinical problem in a specific patient. Nevertheless…the
frequent use of sophisticated and expensive testing in the United
States has not resulted in better clinical outcomes."
The appropriateness of cardiac stress testing in low-risk
patients and strategies for avoiding malpractice litigation while
providing evidence-based care are among the initial topics in
the Smart Testing series, which is part of ACP's High Value Care
About ACP's High Value Care InitiativeACP's High Value Care
initiative 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.
ACP defines High Value Care as the delivery of services providing
benefits that make their harms and costs worthwhile. Value is not
merely cost. Some expensive tests and treatments have high value
because they provide high benefit and low harm. Conversely, some
inexpensive tests or treatments have low value because they do not
provide enough benefit to justify even their low costs and might
even be harmful.
About the American College of Physicians
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.