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A number of doctors are opting out of medicine and citing increasing maintenance of certification requirements as a major contributing factor.

The in-between solution would be something that satisfies the public, insurance, and hospitals, while being easy, high quality, and affordable to physicians.

The National Board of Physicians and Surgeons (NBPAS) may be the beginning of a new viable structure.

At 9 for a two-year certification, the NBPAS is certainly affordable for the internal medicine specialties, but lacks the assessment component that the insurers and hospitals need.

The anger has not only been targeted towards the ABIM, but also towards the other specialty boards.Pediatrics, for example, now requires ABP approved quality improvement (QI) projects that have been widely criticized.While these MOC requirements are a major nuisance for most, the implications may actually run much deeper.This enables physicians to answer questions on the go instead of cramming once every ten years, which the ABA hopes is less burdensome on physicians. It gets to test a continuous assessment model, while dramatically increasing the number of data points for assessment — 1,200 instead of 200 over the 10-year cycle.Whether this is an improvement overall remains to be seen, but at the very least credit is due to the ABA for trying an alternative model. It’s time to start proposing alternate solutions that work for the public as well as for doctors.

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The more viable competition that we bring to the ABMS the more likely it is that better options will emerge.

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