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MOC harms physicians and our patients. It’s time to shed light on MOC harm.

Dear Colleague:

If you’ve been harmed by MOC, you are not alone.

From time away from patients and family, to staggering fees, to crushing depression after a failed recertification exam, the harm from MOC runs deep and broad.

Physicians who choose not to participate in MOC are threatened by hospitals and insurers. Physicians are losing their right to provide care. Patients are losing their doctors.

If your hospital or insurance company requires MOC, let us know.  If you’ve lost a job, your hospital privileges or your insurance credentialing for not participating in MOC, let us know. If you’ve lost your board certification due to medical hardship and inability to participate in MOC, let us know.

If you are denied choice in certifying boards  and can only certify through ABMS/AOA, this is a monopoly. Let us know.

If you’ve suffered depression, anxiety, substance abuse, suicidal ideation and attempts from failing a certification or recertification exam, please realize you are not alone. Share your story.

As physicians, we take an oath to “first, do no harm”. Forced MOC is the antithesis of medical professionalism: it has no proven benefit, yet causes clear harm to physicians and patients.

Our stories of harm must be heard if we want to restore professionalism and true self-regulation to medicine.  We can’t be silent any longer.


Evidence of MOC Harm

I live each day wondering if it will be my last day practicing pediatrics because I didn’t pass one test. -Sylvia, pediatrics

After a month I caved in and paid because my employer could penalize me if I lose my certification. On the ABP website I was not certified one day ( although I passed my recertification exam in 2013), but as soon as they received the payment – I was miraculously certified again. -Ren, pediatrics

I have given the ABP $9000 at this point for attempts At the neonatal-perinatal boards and now am in danger of losing my job if I don’t pass by Dec 2016. It is insane that this organization has the power to take away everything I have worked so hard to achieve, along with my money. Karen, neonatology

Recently I was diagnosed with leukemia. Just before a 3 week hospitalization, I wrote the ABP for a 1 month extension on my MOC part 4. I read the ABP reply from my hospital bed that was so callous and insensitive that I could not believe these people were actually deliverers of health care. The letter stated that they regret that there are no exceptions to the deadline of 12/17 and if I do not meet that deadline I will lose my certification. But they reassured me that they will be there to get my recertification when my health improved. They have some gall. -Ralph Schrager MD (Dr. Schrager passed away 5 months after this post)

My father drowned in the 1000 yr flood on October 4th 2015. I had more important things on my plate than Prep Self Assessment, hand washing protocols and the minutia of detail the MOC requires in spite of my stellar boards exam results and my record as a pediatrician. I called the AAP requesting a compassionate delay in my MOC process. I was told we don’t do that! We would have to hire too many people to assess everyone’s unique situation. Bologna! I assess unique people’s problems daily times 35! The cost of our exam and MOC fees etc are more than enough. No compassion. No individual concern.  -Greg, pediatrics

Sadly, MOC has already ended the careers of too many gifted physicians in the prime of their careers. I personally know 2 pediatricians, 2 cardiologists, and an very well-known orthopedic surgeon who have left clinical practice rather than MOC. Now my personal internist of 20+ years (only mid 50’s in age!) tells me he is hanging it up rather than put up with another MOC. As a patient I am being affected by this MOC mess. It MUST STOP!!!!!! – John Annis, patient