KevinMD June 9, 2023
Richard Gunderman, MD, PhD and James Lynch, MD

According to the American Board of Medical Specialties, its program for maintenance of certification (MOC) serves the patients, families, and communities of the United States and improves patient care by establishing high standards for ongoing learning, practice improvement, and assessment activities. Whether this is true or not has been a hotly contested topic in the medical profession for about two decades, when MOC was first introduced. Proponents claim that MOC fosters lifelong learning and improved patient care, while critics argue that it generates additional monetary expense, saps physician time and energy, and has not been proved to improve practice. One key dimension of this debate concerns the level at which these effects should be assessed – the profession as a...

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