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Accept Board Certification by the National Board of Physicians for Medical Staff Privileges

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There is controversy surrounding the requirements for continued certification in a medical specialty. Many physicians believe recent changes by the American Board of Medical Specialties (ABMS) and its subspecialty boards (requiring physicians engage in various medical knowledge, practice-assessment, and patient-safety activities as well as recertification exams) do not provide optimal use of physician’s time and increase the cost of health care. Furthermore, no high quality data exist to justify these labor intensive and expensive activities.  There is a civil suit in process that also questions antitrust violations when only one board if accepted at a hospital and thus restricts trade of physicians who do not chose to participate in the ABMS' "voluntary" maintenance of certification. In addition, linkage of a physician’s hospital staff privileges solely to MOC recertification violates The Joint Commission (formerly JCAHO) medical staff credentialing recommendations (Section 482.22 a2)

We believe the hospitals in RI should accept an additional way to maintain Board Certification without being compelled to participate in the onerous and unproven activities of the ABMS.  We request that the National Board of Physicians and Surgeons (NBPAS) be accepted at your institutions as a way to maintain specialty board certification. 

The NBPAS believes in life-long learning and the value of Continuing Medical Education (CME). Organizations providing recognized CME programs are regulated by a rigorous accreditation body (ACCME) requiring each CME offering provide an educational gap analysis, “needs assessment,” speaker conflict of interest, course evaluations and many other performance standards. CME can provide education in both established knowledge and also future directions that keep the physician on the “cutting edge.” CME offerings are highly competitive and provide choice. There are numerous organizations offering high value CME activities. If physicians do not perceive value in a particular CME offering, they will go elsewhere. Additionally, most states require CME activities to maintain licensure. Therefore, using CME to fulfill life-long learning requirements provides efficiency and minimizes redundant activities.

The NBPAS believes the following requirements provide the most appropriate metric for continued certification.

1. Candidates must have been previously certified by an American Board of Medical Specialties member board. Currently, NBPAS certifies physicians in non-surgical ABMS specialties.
2. Candidates must have a valid, unrestricted license to practice medicine in at least one US state. Candidates who only hold a license outside of the U.S. must provide evidence of an unrestricted license from a valid non-U.S. licensing body.
3. Candidates must have completed a minimum of 50 hours of continuing medical education (CME) within the past 24 months, provided by a recognized provider of the Accreditation Council for Continuing Medical Education (ACCME).CME must be related to one or more of the specialties in which the candidate is applying. Re-entry for physicians with lapsed certification requires 100 hours of CME with the past 24 months. Fellows-in-training are exempt.  For some specialties (ie interventional cardiology, electrophysiology, critical care), candidates must have active privileges to practice that specialty in at least one US hospital licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie Joint Commission, HFAP, DNV).
4. A candidate who has had their medical staff appointment/membership or clinical privileges in the specialty for which they are seeking certification involuntarily revoked and not reinstated, must have subsequently maintained medical staff appointment/membership or clinical privileges for at least 24 months in another US hospital licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie Joint Commission, HFAP, DNV).

The NBPAS Board Members are physicians who value patient care, research, and life-long learning. Board members believe continuous physician education is required for excellence in patient care.  The current Board of Directors include a prestigious group of physicians which is listed on their website: https://nbpas.org/

ADDITIONAL REFERENCES:

MAINTENANCE OF CERTIFICATION - IMPORTANT AND TO WHOM? http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716034/

BOARDED TO DEATH — WHY MAINTENANCE OF CERTIFICATION IS BAD FOR DOCTORS AND PATIENTS  http://www.nejm.org/doi/full/10.1056/NEJMp1407422

AAPS BRINGS MOC TO COURT http://www.aapsonline.org/index.php/site/article/aaps_takes_moc_to_court/

THE JOINT COMMISSION. “Comprehensive Accreditation Manual for Hospitals.” 2012. Conditions of Participation, Program: Hospital, Chapter: Medical Staff. Elements of Performance. A-0341 (10-17-2008), Interpretive Guideline Section 482.22 (a) (2), pp. 180-81. http://www.jcrinc.com .

 

ASSOCIATION BETWEEN PHYSICIAN TIME-UNLIMITED VS TIME-LIMITED INTERNAL BOARD CERTIFICATION AND AMBULATORY PATIENT CARE QUALITY http://jama.jamanetwork.com/article.aspx?articleid=2020370 ;

THE UGLY CIVIL WAR IN AMERICAN MEDICINE  http://www.newsweek.com/2015/03/27/ugly-civil-war-american-medicine-312662.html

5. A CERTIFIED MEDICAL CONTROVERSY

http://www.newsweek.com/certified-medical-controversy-320495

 



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