Physicians in the anti-MOC movement support initial board certification but say that MOC has evolved into a money-making scheme that forces them to pay testing fees that are too costly and are required too often.
Among groups that oppose MOC are the National Board of Physicians and Surgeons, the Association of American Physicians and Surgeons, Practicing Physicians of America, and the Association of Independent Doctors. Individual physicians are also contacting their state medical societies and legislators to ban mandatory MOC requirements by hospitals and insurers.
The ABMS, which sets the standards for physician certification, says MOC is necessary for quality of care and patient safety. Dr. Nussenbaum also stands behind the rationale for MOC—he said that initially becoming a board-certified physician immediately after completing residency and an ABOto diplomate is not enough to ensure that the physician will continue to maintain that competency throughout his or her entire career. “Our philosophy is that initial certification is not equal to lifelong certification,” he added. “Certification, rather, is a lifelong process that starts with initial certification and is ongoing throughout an individual’s career.”