“I think you can see the more educated patients may wonder about a doctor that doesn’t participate in MOC,” he said.
Explore This IssueOctober 2010
Hospital privileges may eventually require MOC, he added. “I don’t know of any that currently require MOC but I think this is something coming down the line,” he said.
Also, state licensing boards are requiring doctors to do “something similar to MOC” to meet state licensing requirements, he said.
Mark Wax, MD, professor of otolaryngology-head and neck surgery at Oregon Health and Science University, who was part of the same session, said that doctors who are not grandfathered still need to take MOC seriously, even though that may not have been his view at first.
“I thought, ‘Great, I won’t ever have to do this, it won’t affect me,’” Dr. Wax said. “I think we’re all wrong in that. I think the states are going to mandate that we’re going to have to do something to keep our license through them.”
To underline his point on the importance of MOC, Dr. Miller showed a curve of physician quality as it exists today, with a thin tail on the left for “bad” doctors and a thin tail on the right for “excellent” doctors, and the crest of the curve at the “good” line in the middle.
“The purpose of MOC is to shift the curve to the right,” he said. “Most otolaryngologists practice good medicine on most patients most of the time. Why not all of the patients all of the time?”