Readers speak out about Maintenance of Certification


Why did ACOG agree to a program it opposed?

It is upsetting to me that ACOG opposed MOC because it did not believe it would have the intended result and would add expense and time, but still agreed to implement the program—and on a 6-year time frame at that (rather than 10 years)! It is also upsetting that ACOG and ABOG allowed MOC to be implemented without any evidence of its benefit. This is absolutely against the principles that I thought these organizations stood for and would expect for their fellows.

Lewis R. Townsend, MD
Bethesda, Md

ACOG and ABOG have lost credibility

I agree that the ABC program is very well done and instructive. Except for the ABC program, the other three components are a waste of our time. Unfortunately, ACOG and ABOG have lost their credibility with many of us who were certified after 1986.

There is no logical reason why those who were certified before 1986 should be exempt from MOC. Of course, as in any dictatorship, the ones in power find dubious reasons to exempt themselves from the requirements that they place on others.

David Moore, MD
Rockford, Ill

Deciders don’t have to suffer the hardship

I recently sent a formal letter to the “triumvirate” regarding MOC IV and received a rather terse reply. Interesting that those who decide for us are the ones who are “grandfathered” and most likely to be much removed from active clinical practice.

Claire Weitz, MD

Cost is another reason to hate MOC

The cost of being a physician includes state licensing fees, hospital privileges, taxes, and legal fees—and, now, this new certification program. I am not money hungry, but I would expect that, after more than 12 years of post-secondary education, I would have a job that didn’t involve debt. If everyone would quit taking so much of what I earn, it would help.

ABOG is truly ingenious. It has devised a way to make money off of every single board-certified ObGyn almost every single year. Even more irritating is the time they consume. As I get older, my time is becoming priceless. I’m sure your time is also.

Can’t they just leave us alone?

Shaun Jester, DO
Roaring Spring, Pa

New MOC requirements are a bad idea

My impression is that the MOC process is burdensome and half-baked, creating expense and friction with no gain to participating ObGyns. I have written to ABOG suggesting that it simply resign from the ABMS rather than implement this Rube Goldberg idea. If it persists with the current plan, board diplomats will simply switch to one of the competing board certification entities or create a new one.

I have not spoken with a single ObGyn who thinks the MOC proposal has any merit. I suggest you continue airing the issue, and we find ways to push ABOG to drop the idea.

Erik Gunderson, MD
Sweetwater, Tex

Thanks for taking a stand

I agree with Dr. Barbieri’s critical comments and applaud him for taking this stand.

Masha Etkin, MD
Boston, Mass

What happens if a doc doesn’t meet all requirements?

If I fail one part of the ABC exam, or a module, or the proctored exam, or if my state says I am being investigated, do I automatically lose board certification? and if ACOG finds out, am I barred from that organization, too? Or do they send me some new, more expensive way to remain certified? What happens if I want to take a year or two off? am I stuck for the rest of my life never having an empty in-tray?

Did anybody think about this turkey of a board maintenance program before foisting it on us?

Verner Nellsch, MD
Livingston, Tex

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