From the time a doctor is trained and receives license to practice from the state to the time in 10 years he or she takes the exam, and the 10 years after that, there is an enormous gap unfilled by an occasional continuing medical education course. Nor is there enough disciplinary oversight from a licensing board if a doctor's practice comes under licensing review.
The new system undoubtedly will fall far short of filling the gap. But it's at least a strong start, and as ABIM officials have reassured me, it's sure to be tweaked and improved along the way.
6. MOC is too hard on older doctors and will force them to retire early, worsening the physician shortage.
Doctors who passed their first board certification exam prior to 1990 don't have to take the 10 year exam until 2023. If they do not pass by then, they will still be listed as certified, but will also be shown as "not meeting requirements."
Richard Baron, president of the ABIM, says older doctors will not get a pass on meeting cyclical requirements. "If someone is seeing a lot of patients a day, why wouldn't that be applicable?"
That's the question I have too. A board's certification should mean that doctors know today's standards of practice, not those in play decade or more ago.