The Monthly Dose: December 2024

Posted by Jorge Francisco on

Welcome to the latest edition of "The Monthly Dose"!

Let’s dig in!


End of Year Message

A Year of Progress, Thanks to You

Dear Colleagues,

As we close out another year, I want to extend my heartfelt gratitude on behalf of myself and our board of directors for your ongoing support of the National Board of Physicians and Surgeons (NBPAS). Together, we’ve made remarkable progress in advocating for a less burdensome, more clinically relevant pathway for continuous certification.

This year, your support has helped us:

  • Increase the number of hospitals recognizing NBPAS certification.
  • Grow the number of NBPAS-certified physicians.
  • Strengthen outreach and advocacy efforts as we work with state and federal entities to ensure physicians’ voices are heard.
  • Expand resources and tools to help diplomates engage with their Medical Executive Committees (MECs).
  • Counter misinformation and bring financial and scientific transparency to physician certification.

There is still work to be done and we can not do it alone. We are grateful for your continued support in our David versus Goliath effort to challenge the status quo and achieve change that is meaningful (and universal) for all physicians.

On behalf of NBPAS and our board of directors, I would ask you to please consider making a year-end contribution to support our important mission. 

Your tax-deductible donation of any amount by December 31st will directly support:

  • Expanding acceptance of NBPAS certification nationwide.
  • Educating public leaders on the harmful effects of the ABMS monopoly and providing an achievable roadmap of solutions.
  • Developing new resources and strategies to support physicians in advocating for choice in continuous certification.

Together, we can ensure physicians have both a voice and a choice in their continuous certification pathway.

We are confident that with your support, NBPAS will continue to grow into our 10th year, and effectively challenge the deeply entrenched certification monopoly. NBPAS was founded to give physicians a choice and we are honored to continue this work on behalf of all physicians.

Thank you for standing with NBPAS. I’m deeply grateful for your work as physicians, and your support for our efforts as we look ahead to another year of progress and meaningful change.

Wishing you and your loved ones a happy and healthy new year.

Warm Regards,

Paul Teirstein, MD
President, NBPAS


Looking Ahead: 2025 Preview

The NBPAS team is excited to dig into its 2025 projects and is anticipating improved traction in all areas of our advocacy and growth. As a sneak peek of what’s to come, expect news and announcements regarding:

  • Expanded government advocacy and policy solutions
  • Expanded education among hospitals and other physician employers
  • Data-driven leadership and expanded efforts to counter misinformation
  • NBPAS Leadership Academy - New online training program to help grow and educate our network of NBPAS physician Advocates.

MOC In The News

American Board of Internal Medicine (ABIM) Announces Change to MOC Point Reporting Timeline

As reported in Medical Economics, ABIM has eliminated its 2-year MOC point reporting timeline. Unfortunately, the total number of MOC points and other required elements remain unchanged as do the costs, burdens, and requirements for a 10-year exam or ongoing, longitudinal exams. NBPAS believes that minor tweaks to ABIM’s MOC reporting framework do not address the core, underlying issues impacting all specialties. Many things remain the same including:

  • MOC is STILL unproven.
  • MOC is STILL not voluntary.
  • Physicians STILL face severe repercussions for opting out, including being listed as "Not Certified" in national databases and subsequently being barred from employment.
  • Physicians STILL lack control over ABIM (or any other ABMS member board) requirements.
  • MOC remains costly and STILL does not reflect real-world practice.
  • MOC STILL fails to serve as a true measure of physician quality.

NBPAS believes that MOC continues to be compromised by serious conflicts of interests given that the organizations mandating these requirements also serve as the sole providers and direct beneficiaries of the MOC product. For example, ABIM’s IRS 990 forms indicate that from 2022 to 2023:

  • ABIM’s annual revenue increased from $72M to $90M.
  • ABIM’s assets increased from $100M to $180M.
  • ABIM’s recently retired CEO received compensation of $1,385,563 while the average internist earns $223,310/year.
  • MOC now makes up 56% of ABIM’s revenue.

See HERE for a terrific and comprehensive new financial analysis of ABMS and its member boards. Key summary:

"ABMS board certification will cost impacted physicians nearly $3 billion for initial certification and $9 billion for MOC over the course of their career. Member boards hold a net surplus of $839 million in funds, which has climbed by 31% since 2014."

In summary, NBPAS believes that physicians deserve a certification process that truly supports their professional development. We will proudly continue to challenge the status quo and offer a fair, transparent, physician-led certification pathway focused on meaningful continuing education.


Advancing Acceptance

HealthStream adds NBPAS to National Credentialing Database

NBPAS is excited to announce that it has been added to the HealthStream verification system, a platform used by over 80% of hospitals nationwide to verify physician credentials. This integration makes it easier for hospitals and healthcare organizations to confirm NBPAS certification, reinforcing our credibility and growing acceptance nationwide. By joining HealthStream, NBPAS-certified physicians gain increased visibility and streamlined credentialing, advancing our mission to support physicians and prioritize lifelong learning, high-quality standards, and improved patient care.


New Accepting Hospital

NBPAS is very happy to add Rockledge Regional Medical Center in Rockledge Florida (soon to be named 'Orlando Health Rockledge').

Adding NBPAS to the bylaws is straightforward after a vote from a hospital’s Medical Executive Committee (MEC). There are several variations to “acceptance” language. Here are a few recent examples to share with your MEC:

  1. Each Physician Practitioner must be currently certified by the specialty board appropriate to the Clinical Privileges being requested, either by the American Board of Medical Specialties (ABMS), Bureau of Osteopathic Specialists (BOS), or National Board of Physicians and Surgeons (NBPAS) and must maintain that Board certification during membership on the Medical Staff.
  2. Each physician shall be initially certified by the specialty board appropriate to the clinical privileges being requested, either by the American Board of Medical Specialties (ABMS), American Osteopathic Association (AOA), and shall maintain continuous certification during membership on the medical staff through the ABMS, AOA, or National Board of Physicians and Surgeons (NBPAS).
  3. "Board Certification" shall mean certification in one of the Member Boards of the American Board of Medical Specialties (ABMS) or the Bureau of Osteopathic Specialists certifying boards of the American Osteopathic Association (AOA). The National Board of Physicians and Surgeons (NBPAS) may be used for continuous certification if initial certification was granted by one of the Member Boards of the American Board of Medical Specialties or the Bureau of Osteopathic Specialists certifying boards of the American Osteopathic Association.

Champions of Change

Thank you to all NBPAS physicians who go above and beyond to champion life-long learning while advocating for competition and choice in continuing certification.

Meet our December Champion of Change: Ellen McKnight, MD

Dr. Ellen McKnight is NBPAS-certified in Internal Medicine and Rheumatology and practices in Florida with nearly 40 years of clinical experience. Dr. McKnight has also established an impressive track record of physician and patient advocacy, fighting for state, federal, and medical society policies that support the physician-patient relationship and an end to de facto MOC mandates. Most recently, Dr. McKnight introduced a successful resolution to the Florida Medical Association (FMA) that has become the cornerstone of amending Florida’s advertising as "board certified" rule.

NBPAS is grateful to Dr. McKnight for her tireless efforts in service of her patients, the public, future physicians in-training, and for her advocacy on behalf of NBPAS physicians in Florida. Thank you, Dr. McKnight for all you do!


Advocacy Updates

Oklahoma Board of Medicine - NBPAS Associate Director, Karen Schatten, traveled to Oklahoma City at the invitation of the Oklahoma Board Of Medicine, which requested an overview of NBPAS Certification as it considers allowing all NBPAS physicians in Oklahoma to advertise themselves as "board certified."

While in town, Karen had an opportunity to meet with several local NBPAS diplomates. Pictured below (left to right): Ryan Morgan, DO, FACOI and co-founder of Vitalis Metabolic Health; NBPAS Associate Director Karen Schatten; Jonathan Stone, DO, Oklahoma Spine and Musculoskeletal Medicine; and Steve Randall, MD, Randall Pain Management.


Penn Medicine Princeton Medical Center - Karen also presented virtually to the Medical Executive Committee (MEC) of Penn Medicine Princeton Medical Center. NBPAS received a warm reception and is grateful to NBPAS diplomate, Vadim Finkielstein MD, who serves on the MEC and has been a wonderful advocate for bringing NBPAS to the hospital and health system.


Not yet a Diplomate? Apply for NBPAS Certification today.

Apply Now

Suggestion Box

Have an idea, need help? Reach out to NBPAS at info@nbpas.org.

We look forward to hearing from you.

See You Next Year!