Author Interviews, Education, JAMA / 13.12.2014
ABIM MOC and Recertification May Have No Impact On Patient Quality Care
MedicalResearch.com Interview with:
John Hayes, MD
Clement J. Zablocki VA Medical Center,
Milwaukee, Wisconsin
Medical Research: What is the background for this study? What are the main findings?
Response: Prominent in the discussions about ABIM MOC and recertification has been an ongoing debate about the evidence that supports a relationship between recertification, MOC and patient care. Since many healthcare organizations use board certification as a criteria for employment consideration, the new status of “certified” but not meeting MOC throws considerable disarray into credentialing and hiring committees. We can now have ABIM labeling a physician who boarded eleven years ago as “not certified” but a physician who boarded 25 years ago as “certified” with an asterisk.
And of course discussions like this bring employers and healthcare organizations back to the question: What is the additive value of MOC and recertification on patient care?
The integrated Veterans Health Administration electronic health record generates performance reports for primary care physicians at regular intervals. In our study, we were able to observe for any difference based on certification groups.
We reviewed ten industry-standard quality care measures in approximately 68,000 patients across 4 VA medical centers and found that internists holding time-unlimited certificates performed just as well as those holding time-limited certificates.
(more…)