As physicians and state medical societies continue to revolt against high-stakes maintenance of certification (MOC) tests and increased MOC requirements, more state legislatures have considered legislation to limit the use of MOC in professional requirements. This year, Tennessee and South Carolina became the fourth and fifth states to pass legislation restricting the use of MOC in areas such as licensure, reimbursement, employment, malpractice insurance, and insurance panel participation.
Legislation in more than a dozen other states died or languished in committee as the nexus for change may have shifted to the American Board of Medical Specialties (ABMS) and individual specialty boards, which are promising significant change.
“The leadership of the American Board of Internal Medicine has heard clearly that it must change,” according to Jeffrey S. Berns, MD, chair of ABIM’s nephrology board. ABIM will begin offering nephrologists and internists the option of replacing the 10-year test with an open-book every-two-year test in 2018.
And ABMS has announced a collaborative re-evaluation called the Vision Initiative commission, with the task “to provide a set of recommendations about the future of continuing board certification for consideration by ABMS.”