Physician Attitudes About Maintenance of Certification

Cook, David A.; Blachman, Morris J.; West, Colin P.; Wittich, Christopher M.

doi:10.1016/j.mayocp.2016.07.004

Cited by 60 publications

(44 citation statements)

References 35 publications

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“…58 The examples in Tables 1 and 2 show that many physicians have successfully embraced the challenges of 21st century professionalism and demonstrably improved care in the context of MOC, yet a number of physician surveys have registered dissatisfaction with MOC across all specialties. 2,3,59,60 Specific concerns have included the perceived burden, relevance, cost, and complexity of the MOC program. At the same time, hospitals have increased their reliance on MOC as a criterion for privileging.…”

Section: Acceptability Of the Moc Programmentioning

confidence: 99%

Maintenance of Certification and the Challenge of Professionalism

Nichols

2017

Pediatrics

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Board certification has been part of the social contract in which physicians commit to maintaining up-to-date scientific knowledge and improving the quality of patient care. However, the maintenance of certification program has been controversial. This review summarizes the philosophical underpinnings, published literature, recent improvements, and future directions of the American Board of Pediatrics maintenance of certification program.

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Section: Acceptability Of the Moc Programmentioning

confidence: 99%

Maintenance of Certification and the Challenge of Professionalism

Nichols

2017

Pediatrics

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“…Physicians may accept or even support MOC’s general framework, but the implementation of MOC has led to dissatisfaction, with physicians citing particular concerns over cost and excessive time requirements [11–15]. Almost 70% of general internists are dissatisfied with MOC, and internists are less likely to maintain certification than other specialists [16].…”

Section: Introductionmentioning

confidence: 99%

Primary care physicians’ perceptions of practice improvement as a professional responsibility: a cross-sectional study

Stephenson

Wittich

Pacyna

et al. 2018

Medical Education Online

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Continuous quality improvement is a component of professionalism. Maintenance of Certification (MOC) is a mechanism in the USA for physicians to keep current with medical knowledge and contribute to practice improvement. Little is known about primary care physicians’ perceptions of the practice improvement (Part IV) components of MOC. We aimed to determine primary care physicians’ perceptions of their professional responsibility to participate in Part IV MOC. This was a cross-sectional study of primary care physicians using the American Medical Association Masterfile. We developed a nine-item survey, designed from expert consensus and literature to determine views on Part IV MOC as a professional responsibility. We surveyed 1500 randomly selected primary care physicians via mail from November 2014 to May 2015. The response rate was 42% (627 of 1,500): 47% (273 of 585) were family practitioners and 49% (289 of 585) were internists. Factor analysis revealed a two-factor survey, with five items pertaining to positive views of MOC Part IV and four items pertaining to negative views. Internists were more likely to view MOC Part IV as time consuming (82.0% vs. 70.3%, P = .001), expensive (50.9% vs. 38.8%, P = .004), and not relevant to practice (39.1% vs. 23.8%, P < .001). Family medicine practitioners were more likely to view MOC Part IV as improving patient care (64.5% vs. 48.8%, P < .001) and maintaining professional responsibility (48.7% vs. 32.5%, P < .001). Regardless of specialty, most physicians viewed MOC Part IV as time intensive, not beneficial for career advancement, and not a professional responsibility. Family medicine practitioners demonstrated more positive views of MOC Part IV. The difference between family medicine practitioners and internists could be related to the ABIM MOC controversy. Future changes to practice improvement requirements could focus on limiting time requirements and on clinical relevance.Abbreviations: ABIM: American Board of Internal Medicine; AMA: American Medical Association; CQI: continuous quality improvement; IRB: institutional review board; MOC: Maintenance of Certification; QI: quality improvement

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“…The ABIM is simply not what it was, and the ever-changing maintenance of certification activities are perceived by practitioners to be onerous and to have little relevance or value. 3 Is the ABIM pandering to its members in order to keep the revenue coming in rather than truly assessing for quality? Abdicating educational and standard-setting roles to the ABIM abdicates quality and authority.…”

mentioning

confidence: 99%