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January 17, 2019

Three key points: AGA comments on vision for continued board certification

AGA this week responded to the American Board of Medical Specialties (ABMS) Continuing Board Certification: Vision for the Future Commission draft report on the state of continuing board certification (maintenance of certification) which includes the commission's recommendations to create a framework for the future. 

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Reforming MOC is a priority for AGA so our comments were extensive. Here are three key points we made. If you have a few minutes, please read the full comment letter here.


Recertification shouldn’t burden physicians


In an era of epidemic physician burnout threatening access to care from reductions in the physician workforce, we seek a recertification pathway that is not unnecessarily burdensome, while maintaining relevance to the practice of a matured, experienced clinician.


Requirements should be relevant to practice


Requirements need to be relevant to practice and able to be adopted by our physicians with minimal additional investment in an already overburdened practice environment. Physicians have a narrowly defined practice and that assessments and certification should be “tailored to a diplomate’s area of practice.” However, it is necessary that physicians have knowledge outside of a narrow subspecialty, and thus the specialty societies should help the Boards identify what constitutes the key “core knowledge, judgment and skills” for the specialty.  It is AGA’s view that this knowledge should be much less detailed than the expectations for initial board certification.


Certification ≠ credential


The issue of continuous certification being misappropriated as an employment credential is not acceptable. AGA calls on the commission to make it unequivocally clear that board certification should not be used in any way as a requirement for hospital credentialing.


MOC is a hot topic on the AGA Community. We’re listening.


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