"Take the foot exam for patients with diabetes. We know that in doctor's office A it's done 90% of the time, but in B, 5%," but both doctors will think they're doing it all the time.
"They don't reliably think of their jobs as meeting the needs of a diabetes population, but just those for one patient at a time, or those I saw from 9 a.m. to noon." It's not that they're bad doctors, but maybe for a patient with severe arthritis, taking the shoes off for the exam was too much trouble. Or maybe you skipped the exam because you were running late on the schedule."
To the cries that the cost is too high, Baron says that it isn't. To satisfy MOC criteria for one internal medicine certification, the cost is $1,940 for ten years, or $194 per year. For an endocrinologist, it's $2,560 for 10 years, or $256 per year.
The bottom line, he says, is that tighter credentialing and certification criteria is something that must happen now. "What the public wants is a doctor who is credentialed in a way they know that is someone who is keeping up with their discipline."