Welcome to my blog, a place to explore and learn about the experience of running a psychiatric practice. I post about things that I find useful to know or think about. So, enjoy, and let me know what you think.

Wednesday, June 19, 2013

More on MOC

In the May issue of The Carlat Report, right under the article I wrote, is an article about Maintenance of Certification, by Dr. James Amos. It's informative and well written, but as importantly, it links to his blog, The Practical Psychosomaticist, which has some wonderful posts and resources.

He has a particular interest in getting rid of the MOC requirements, very much in line with my own feelings about MOC (See Alphabet Soup). He thinks the exam and PIP are unnecessary wastes of time and money, but that lifelong learning should be encouraged in other ways.

I want to make people aware of some links and resources, for those who think MOC requirements are, well, extortion that may soon be linked to maintenance of licensure:

1. The Change Board Recertification site. The link will take you, not to the homepage, but to the page with a list of Boards' tax returns. The ABPN reported $ 46.7 million in total assets and $ 27.6 million in gross receipts in 2009. Links to form 990s are included.

2. Dr. Amos' petition: Dr. Amos' resolution to uphold lifelong learning in the continuous improvement of patient care and to oppose MOL was approved by the Iowa Medical Society House of Delegates in April.

3. The lawsuit: The Association of American Physicians & Surgeons (AAPS) filed suit April 23, 2013 in federal court against the American Board of Medical Specialties (ABMS) for restraining trade and causing a reduction in access by patients to their physicians. The ABMS has entered into agreements with 24 other corporations to impose enormous “recertification” burdens on physicians, which are not justified by any significant improvements in patient care.


  1. Many thanks! Wish me luck; I'm scheduled for a telephone conference with the Iowa Board of Medicine on June 28, 2013 to discuss Maintenance of Licensure (MOL).

    James Amos, MD

    1. Good Luck! What do you expect to be the outcome?

  2. Thanks for doing this. I am a little boggled by this also. I don't doubt the MOC and MOL are designed with the best intent, and I applaud getting rid of the oral boards for psych. But yes, this does seem like a racket of sorts. It seems we need some sort of Board Cert status, yet how to really distinguish between capable psychiatrists must be difficult. I hope your efforts produce some meaningful ideas.