MOC Journal Club
In their marketing materials, ABMS member boards provide lists of publications they claim support the beneficial impact of MOC on patient outcomes. NBPAS asked two uninvolved clinical researchers to formally review the major studies in this area. Below we provide the reviews from the two independent reviewers as well as Dr. Teirstein (President of NBPAS). The studies were selected from the ABMS member boards’ marketing materials (the one exception is paper #2 Hayes et al JAMA 2014 which is absent from ABMS marketing materials) and were selected because they appeared to be the most robust research in this area.DOWNLOAD PDF
Dr. Teirstein (PST) is the Chief of Cardiology at Scripps Clinic and the President of NBPAS. He has modest experience in the design, execution and review of clinical trials. He describes himself as anti-MOC.
Dr. Cohen (DJC) is the Vice Chairman of Medicine for Research, Beth Israel Deaconess Medical Center, Boston, MA. He has extensive experience in the design, execution and review of clinical trials. He describes himself as neutral with respect to the MOC controversy.
Dr. Ajay Kirtane (AJK) is Associate Professor of Medicine at Herbert Irving Columbia University Medical Center (CUMC) and Director of the Cardiac Catheterization Laboratories at NewYork-Presbyterian (NYP) Hospital / CUMC. He has extensive experience in the design, execution and review of clinical trials as well as in in the design and execution of educational programs (including self-assessment/MOC programs) for practicing physicians and fellows. He describes himself as of two minds with respect to the recent MOC controversy and requirements: While recognizing the critical need to maintain physician competency, he is firmly convinced that the mechanisms by which such competency is attained (and evaluated) must be clinically relevant and demonstrably worth the considerable efforts and costs involved for practicing physicians.
1 Association Between Imposition of a Maintenance of Certification Requirement and Ambulatory Care–Sensitive Hospitalizations and Health Care Costs
Bradley M. Gray, PhD; Jonathan L.Vandergrift, MS; Mary M. Johnston, MS; James D. Reschovsky,PhD; Lorna A. Lynn,MD; Eric S. Holmboe, MD; Jeffrey S. McCullough, PhD; Rebecca S. Lipner, PhD
JAMA. 2014;312(22):2348-2357. DOI:10.1001/JAMA.2014.12716
2 Association Between Physician Time-Unlimited vs Time-Limited Internal Medicine Board Certification and Ambulatory Patient Care Quality
John Hayes, MD; Jeffrey L. Jackson, MD, MPH; Gail M. McNutt, MD; et al Brian J. Hertz, MD; Jeffrey J. Ryan, MD; Scott A. Pawlikowski, MD
JAMA. 2014;312(22):2358-2363. doi:10.1001/jama.2014.13992
3 Association of Physician Certification in Interventional Cardiology With In-Hospital Outcomes of Percutaneous Coronary Intervention
Paul N. Fiorilli, MD; Karl E. Minges, MPH; Jeph Herrin, PhD; John C. Messenger, MD; Henry H. Ting, MD; Brahmajee K. Nallamothu, MD; Rebecca S. Lipner, PhD; Brian J. Hess, PhD; Eric S. Holmboe, MD; Joseph J. Brennan, MD; Jeptha P. Curtis, MD
Circulation. 2015;132:1816-1824. DOI: 10.1161/CIRCULATIONAHA.115.017523.
4 Association Between Maintenance of Certification Examination Scores and Quality of Care for Medicare Beneficiaries
Eric S. Holmboe, MD; Yun Wang, PhD; Thomas P. Meehan, MD, MPH; Janet P. Tate, MPH; Shih-Yieh Ho, PhD, MPH; Katie S. Starkey, MHA; Rebecca S. Lipner, PhD
Arch Intern Med. 2008; 168(13):1396-1403. doi: 10.1001/archinte.168.13.1396
5 The Association Between Physicians’ Cognitive Skills and Quality of Diabetes Care
Hess BJ1, Weng W, Holmboe ES, Lipner RS.
Acad Med. 2012 Feb;87(2):157-63. doi: 10.1097/ACM.0b013e31823f3a57.
6 Effect of Board Certification on Antihypertensive Treatment Intensification in Patients With Diabetes Mellitus
Alexander Turchin, MD, MS; Maria Shubina, DSc; Anna H. Chodos, BA; Jonathan S. Einbinder, MD, MPH; Merri L. Pendergrass, MD, PhD
7 The Impact of a Preventive Cardiology Quality Improvement Intervention on Residents and Clinics: A Qualitative Exploration
Elizabeth C. Bernabeo, MPH, Lisa N. Conforti, MPH, Eric S. Holmboe, MD
Am J Med Qual 2009;24: 99-107.
8 Promoting Physicians’ Self-Assessment and Quality Improvement: The ABIM Diabetes Practice Improvement Module
Eric S. Holmboe, MD; Thomas P. Meehan, MD, MPH; Lorna Lynn, MD; Paula Doyle, BS, MBA; Tierney Sherwin; and F. Daniel Duffy, MD
The Journal of Continuing Education in the Health Professions, Volume 26, pp. 109-119.
9 Improving Asthma Care Through Recertification. A Cluster Randomized Trial
Jan Simpkins, MA; George Divine, PhD; Mingqun Wang, MS; Eric Holmboe, MD; Manel Pladevall, MD, MS; L. Keoki Williams, MD, MPH
10 Mayo Clinic: Physician Attitudes About Maintenance of Certification – A Cross-Specialty National Survey
David A. Cook, MD, MHPE, Morris J. Blachman, PhD, Colin P. West, MD, PhD, Christopher M. Wittich, MD, PharmD