The May 12 2015 edition of JAMA (The Journal of the American Medical Association focuses on the changes occuring in health care that detracts from self-governance and true professionalism. Several prominent health leaders comment on classification and necessary items to guarrantee true professionalism.
Audio MP3 Download Editor's Audio Summary by Howard Bauchner, MD, Editor in Chief of JAMA,
Physicians have long been involved in CME and their number of credits sent to a state medical board for credit. Each state has different requirements. However few reports are audited. In the past physicians were responsible for keeping their own paper certificates to use if they were audited.
During the past ten years re-certification every 10 years for most specialties in medicine. M.O.C. (Maintenace of Competence) was developed to allow for credit CME by reports of case management in daily work.
The ABMS produced an Evidence Based Library to support it's MOC program(s). One of the proposed metrics included outcome studies for the individual physician.
MOC actuallly requires much more work, record keeping and following a guideline distributed by the appropriate specialty board of the American Board of Medical Specialties. Each board is (was) responsible for the original diploma of certification.
Dr Wesby Fisher, M.D. a Cardio-electro-physiologist writes often in his blog, Dr. Wes