1. Paul,
    I’ll save my rant on the abuse by ABIM of hard working physician members for another day. Wanted to ask the following:

    1) Have a set up a fund where disgusted ABIM members might be able to donate (Tax deductible) money to support NBPAS and serve the cause of hard working physicians and contribute to the discredit of ABIM?

    2) Have you considered a national meeting for MDs in general to allow additional interaction with members of NBPAS and with each other to get the caravan moving?

  2. I would copy and paste every comment on this board and send it to ABIM. ABIM needs to have a closer look at reality.

    If you made the $200 fee a lifetime certification–everyone would join immediately!!

    Keep up the great work.


  3. Thank you for providing an alternative to the monopoly of board certification. The current system is now becoming a business instead of a service to help Physicians. I hope to sign up before the end of this year if my employer will recognize NBPAS certification. Keep up the good work.

  4. Alas, while ABIM-MOC “got it wrong,” the National Board of Physicians and Surgeons (NBPAS) is righting the wrongs. KUDOS! Let us physicians unite and do the right thing for our noble profession, and uphold our sacred physician-patient relationship. Thanks, NBPAS, for leading this vital charge to effect positive transformation for American Medicine.

  5. Although I signed up for this enthusiastically, I had no choice but to proceed with MOC requirements because my active staff privileges were at risk. I took the written exam in endocrinology in November and passed. I still had to complete the PIM to complete recertification. Until this most recent change.
    I appreciate all the work NBPAS has done and continues to do. I had wanted to apply for certification here instead of ABIM, but Endocrinology is currently not being offered. I suggest that this specialty be added. Regardless of how ABIM will change MOC, I will plan on applying for certification with NBPAS when endocronology is offered.
    Thank you!

  6. The ABIM sent me the following email today, but they still, don’t get it… I believe they are just responding to the formation of NBPAS — WE CAN MAKE A DIFFERENCE IF WE DON’T REMAIN PASSIVE:

    They still want to “Transform MOC”… we need to DEVOLVE/ DISCONTINUE MOC

  7. Congratulations! Just received the “We got it wrong. We’re sorry.” email from ABIM. I’ve already sent in my application to NBPAS, and am not waiting to see whether ABIM can really get it right. Either way, Dr. Tierstein et al deserve an enormous vote of praise and gratitude from the medical world! WELL DONE!

  8. Thank you to all involved. I am checking to see what my chair and chief of staff’s response is to the NBPAS. I am hopeful that they will see the value of this group, such that my colleagues and myself could join. Good luck and thanks again- in the least, if the ABIM at least significantly reforms their process , that would be a mjor win for all of us.

  9. Can you please set up social media presence. Might make it make it easier to spread the word in addition to other channels.

  10. This is so welcome. For physicians like myself, an employed specialist in an inner city community health center, the requirements for MOC are so burdensome as to be nearly impossible. Never mind the exorbitant fees, but computer surveys for indigent patients who don’t speak English and who don’t have computers??? Really?

  11. Wonderful idea/ concept – in fact, I just applied for certification!

    As a (previously) ABIM-certified internist (1997-2007), I vigorously resisted, and did not participate in, the onerous process of re-certification through the ABIM when my certificate “expired” in 2007.

    As physicians, we need to begin the process of focusing upon quality of patient care as well as taking back control over our professional lives from the bureaucratic, cumbersome, and inefficient ABIM, an organization that exists primarily for economic benefit, not patient benefit.

  12. I hope you will be adding Preventive Medicine and its subspecialties (Occupational, Aerospace and Public Health).

    1. George:

      I looked it up: It had a sunset . from 2011- 2014. It’s no longer valid:


      Section 1848(m) of the Social Security Act (42 U.S.C. 1395w–4(m)) is amended by adding at the end the following new paragraph: ‘‘

      (7) ADDITIONAL INCENTIVE PAYMENT.— ‘‘(A) IN GENERAL.—For 2011 through 2014, if an eligible professional meets the requirements described in subparagraph (B), the applicable quality percent for such year, as described in clauses (iii) and (iv) of paragraph (1)(B), shall be increased by 0.5 percentage points. ‘‘(B) REQUIREMENTS DESCRIBED.—In order to qualify for the additional incentive payment described in subparagraph (A), an eligible professional shall meet the following requirements: ‘‘(i) The eligible professional shall— ‘‘(I) satisfactorily submit data on quality measures for purposes of paragraph (1) for a year; and ‘‘(II) have such data submitted on their behalf through a Maintenance of Certification Program (as defined in subparagraph (C)(i)) that meets— ‘‘(aa) the criteria for a registry (as described in subsection (k)(4)); or ‘‘(bb) an alternative form and manner determined appropriate by the Secretary. ‘‘(ii) The eligible professional, more frequently than is required to qualify for or maintain board certification status— ‘‘(I) participates in such a Maintenance of Certification program for a year; and ‘‘(II) successfully completes a qualified Maintenance of Certification Program practice assessment (as defined in subparagraph (C)(ii)) for such year. ‘‘(iii) A Maintenance of Certification program submits to the Secretary, on behalf of the eligible professional, information— ‘‘(I) in a form and manner specified by the Secretary, that the eligible professional has successfully met the requirements of clause (ii) (which may be in the form of a structural measure); ‘‘(II) if requested by the Secretary, on the survey of patient experience with care (as described in subparagraph (C)(ii)(II)); and ‘‘(III) as the Secretary may require, on the methods, measures, and data used under the Maintenance of Certification Program and the Time period. Certification. VerDate Nov 24 2008 13:33 Jun 02, 2010 Jkt 089139 PO 00148 Frm 00844 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL148.111 APPS06 PsN: PUBL148 dkrause on GSDDPC29PROD with PUBLIC LAWSPUBLIC LAW 111–148—MAR. 23, 2010 124 STAT. 963

      ABIM is mentioned by its name but the law also gives the options of the alternative pathways. Here is actual language of law>.

      PUBLIC LAW 111–148—MAR. 23, 2010 124 STAT. 963
      qualified Maintenance of Certification Program
      practice assessment.
      ‘‘(C) DEFINITIONS.—For purposes of this paragraph:
      ‘‘(i) The term ‘Maintenance of Certification Program’
      means a continuous assessment program, such
      as qualified American Board of Medical Specialties
      Maintenance of Certification program or an equivalent
      program (as determined by the Secretary), that
      advances quality and the lifelong learning and selfassessment
      of board certified specialty physicians by
      focusing on the competencies of patient care, medical
      knowledge, practice-based learning, interpersonal and
      communication skills and professionalism. Such a program
      shall include the following:
      ‘‘(I) The program requires the physician to
      maintain a valid, unrestricted medical license in
      the United States.
      ‘‘(II) The program requires a physician to
      participate in educational and self-assessment programs
      that require an assessment of what was
      ‘‘(III) The program requires a physician to
      demonstrate, through a formalized, secure examination,
      that the physician has the fundamental
      diagnostic skills, medical knowledge, and clinical
      judgment to provide quality care in their respective
      ‘‘(IV) The program requires successful completion
      of a qualified Maintenance of Certification
      Program practice assessment as described in
      clause (ii).
      ‘‘(ii) The term ‘qualified Maintenance of Certification
      Program practice assessment’ means an assessment
      of a physician’s practice that—
      ‘‘(I) includes an initial assessment of an
      eligible professional’s practice that is designed to
      demonstrate the physician’s use of evidence-based
      ‘‘(II) includes a survey of patient experience
      with care; and
      ‘‘(III) requires a physician to implement a
      quality improvement intervention to address a
      practice weakness identified in the initial assessment
      under subclause (I) and then to remeasure
      to assess performance improvement after such

      I think we will be fine.

  13. I urge you to add candidacy for NBPAS certification to Internists currently certified by AOBIM, the osteopathic board.

    I’m a DO internist, certified by ABIM (until now, anyway…). Many, many fine colleagues happen to be AOBIM certified, and have exactly the same problems that we face with ABIM.

    I am deeply supportive of this alternative to the monopoly and hegemony of the ABIM. Thank you and the NBPAS board for going this road.

  14. How and when do you plan to petition State Medical Boards to recognize the certifications granted by this body? If the State Medical Boards recognize the certifying exams from this body, then insurance companies and hospitals will be mandated to accept this certification. Are there any state medical boards you have contacted thus far, I am especially interested in Georgia

  15. Brilliant response to the dictatorial stance of the ABIM. I am in the middle of getting my 50 hours of CME for state licensure renewal but the moment I am done I will be signing up. I also would be happy to contribute to a legal fund to fight the inevitable legal assault that the ABIM will undoubtedly launch.

  16. Regarding section (7)(193) of the Affordable Care Act (ACA), a commentator on NBPAS (http://drwes.blogspot.com/2015/01/some-thoughts-on-national-board-of.html) has questioned the potential loss of a 0.5% additional incentive payment if a physician does not participate in an approved ABMS Maintenance of Certification Program. Such loss would have occurred during the years 2011-2014, but the incentive went out with the sunset on Dec. 31, 2014. I have received email confirmation from CMS/HHS that no further incentives for MoC participation are authorized from now on. Therefore, this particular point about the ACA incentive should not deter hospital systems from accepting NBPAS as an alternative to ABMS board certification.

  17. Thank you so much for taking a stand against ABIM MOC scam. We fully support your efforts in establishing and promoting this alternative pathway

    I know a lot of doctors are a bit nervous about this alternative Board. This is completely understandable. If we all band together and each and everyone of us play his or her to promote the new board and educate our colleagues and hospital administrations, I am confident that NBPAS will gain its recognition by our colleagues, hospitals and Insurers. Dr. Teirstein and his team deserve our support.

    Our immediate goal should be to spread the word and get our colleagues sign up , even if they are already participating in the ABIM MOC. This will help improve our strength and show our support to NBPAS.

    I would suggest following points, which in my opinion will help NBPAS to be recognized as a serious and credible Board.

    1. NBPAS should take its roadshow to the national meetings of all the specialties to promote it self and educate our colleague.
    2. We should work with Residency and Fellowship program directors and try to convince them to join hands with us.
    3. Media campaigns. A few good news articles in NYT or WSJ will definitely help us.
    4. NBPAS should seriously look into starting its own initial certification programs in next a few years. This will definitely establish NBPAS as a credible credentialing entity .

    Thank you again for all your hard work.

  18. Dr.Teirstein,
    As a fellow Interventional cardiology colleague and more important as a fellow physician I completely support your efforts to “redo” the current system of board certifications. The expenses associated with obtaining and maintaining multiple board certifications is nothing less then atrocious and sometimes can lead to costs of tens of thousands of dollars depending how sub-specialized you are and how many board certifications you choose to maintain. These organizations call themselves “non-profit” while continuing to charge upwards of $2,500 for a single examination fee (now multiply that by the number of board certifications you wish to keep). This has gotten to a point of near ridicule and almost can be considered a “cartel” like mentality by choosing to do as they please and physicians simply mandated to follow. We all know how busy physicians are and many organizations have taken serious advantage of that by simply blind sighting us and taking us for a “ride”. It is time physicians took steps like this to take matters in their own hands and decide what is considered appropriate costs and training requirements for board certifications and to police themselves instead of letting “cartels” do so. I once again commend you and everyone else for taking time out of your busy schedule to get this grass roots effort rolling. I completely support you and wish you immense success !

  19. Thank you all for this alternative board certification ! I signed up immediately. The fax number didnt work when I tried
    to fax in the CME documentation. Perhaps it was busy from all of us trying to fax? I will keep trying ~ As the time draws near
    for me to recertify with ABIM, the flurry of MOC mail and emails has intensified. I appreciate having an affordable and sensible

    1. Thank you for your support! I apologize that the fax number did not work. We will look in to that promptly.
      If it would be more convenient for you, please email your CME documentation to: documents@nbpas.org.

  20. I encourage all physicians to sign up for this alternative method of certification. This method of certification is based upon the time-honored practice of using CME credits as a way of documenting one’s continued commitment to enhancing one’s post residency/fellowship medical knowledge. Using CME credits allows the physician to take courses that hone their individual skill set instead of being forced to participate in mandated MOC which has little, if any, relevancy in individual practice. For someone who has opted out of the charade of MOC and time-limited certification exams in 2014, this gives me a vehicle for documenting what I have been doing all along, staying current, during my 21 year plus years of private practice. For once, we physicians must unite against the forces which are interfering with our ability to deliver care. Once this monkey is off our backs, let’s unite around other issues ( ICD-10, EHR, ACO’s, etc. ) and see if we can get our profession back.

  21. We have been bullied enough. I boarded in Internal Medicine in 1997 and again in 2007. Here I am again working on my MOC requirements for 2017. This in addition to the many CMEs I already complete for my own education, or as required by the states I am licensed in. The “modules” do not make me a better doctor. They are expensive busy work. I am impressed that you require board certification already in the ABIM. Your board is an impressive group. Thank you for being the leaders in this much needed momentum. It’s about time we doctors started fighting back. I only hope the roar gets louder. I’m in!

  22. Dear Dr. Teirstein,
    Thank you so much for all your efforts and taking stand against MOC scam . I support this and I am in.

  23. Thank you Dr. Teirstein for this. I just got off the phone with a representative from my speciality to understand MOC requirements. They are even more infuriating than I realized (investigate Part 4 — the quality improvement nonsense).

    I would urge those who have any time to go and call the MOC representative from their specialty to find out more. Having a free moment, I spent about 15 minutes irritating my representative by asking question after question — “what does X mean? what exactly is a sponsor? how many points do I need for X, Y or Z?” to the point of the representative becoming clearly frustrated at their time being wasted by ridiculous questions “The answer to that is on the website, if you would just read it!”). At that point, I said — now you understand how we all feel. It made me feel a bit better.

  24. Sign up! Why? It’s an investment in the future of the medical profession, a real opportunity for change. It’s also a cheap insurance policy (only $169 for two years). What if you lose your ABMS status for some reason (e.g., not enough time to study, personal hardship like a divorce or sick child in close proximity to a recertification exam, or some careless bureaucratic SNAFU at ABMS that prevents you from sitting for the exam). You’ll still be certified by NBPAS, but only if you sign up now. If you wait until you lose your board-certified status, you’ll be ineligible. If you sign up, you’ll enable NBPAS to outcompete ABMS and force ABMS to try to catch up by lowering its prices and starting to really listen to its diplomates. Competition is better than monopoly. You know it, so sign up. You’ve got nothing to lose and a lot to gain.

  25. Thank you Dr. Tierstein and NBPAS board members. I realize that this organization is in its infancy, but first impressions matter! This website needs to rival the ABIM in its design and “flashiness”. I urge you to accept contributions, above and beyond the fee you are charging for board accreditation. You will need to hire staff, to advertise, to market to state medical boards, health plans, etc. All this requires funds! Please let me know if I can be of any assistance to your organization.

  26. Can you please add Pediatrics and all its sub specialty boards like Neonatal Perinatal Medicine ? You will gain more members real fast. Whoever has the membership strength in numbers will prevail. If most members will switch then recognition by all other entities will follow.

  27. I am glad we are raising the level of our opposition. Our society should create more doctors who are not just clerical data scientist who keep looking that laptop screen inside a patients room, but are compassionate human beings in the patient room providing patient care and not “laptop care”. What has happened to American Board certification is deplorable and I wish we could mount a stronger presence of defectors.

  28. Is there currently a route to meet CME requirements available for ABIM-certified internists that are currently in a fellowship. The ABIM MOC provides credit during fellowship training since fellows do not collect CME. I would apply for this certification, but do not currently have CME…yet, I do attend required and non-required educational conferences daily as a part of fellowship.

    Could you either direct me to or create a pathway for those of us still in subspecialty training?



  29. Like most of my colleagues in Internal Medicine, I am very much in favor of continued learning and staying on top of my game. The ABIM, in the interest of “protecting the unsuspecting public” from incompetent doctors, does not foster and encourage continued learning in a benevolent way, but rather they create a series of ridiculous and ever-increasing series of hoops to jump — ending in a very high-stakes secure exam that if not passed, results in the loss of hospital privileges, insurance contracts and the ultimate inability to earn a living practicing as a physician.
    The MOC process as it stands now is punitive. That needs to change! Never mind all the MOC activities we do- if we fail to pass that stupid esoteric secure exam, then we lose EVERYTHING! That, for me, is the big deal killer. I passed my initial board certification in 1994, have been recertified twice over the years, and have been in practice for nearly 22 years. I feel that I have proven my competency time after time. If patients want to find out if I’m any good, they can Google my name on Healthy Grades, Vitals.com, Angie’s List, or one of the many sites out there. Enough is enough!!!

    1. Less than a year ago, I took the ABFP recert exam. The whole process was demeaning, inconvenient, we were all treated like prisoners at Gitmo. They even wanded me (as in the airport) whenever I entered the exam room! I guess they thought I might smuggle an AK47 in and start firing away if I got frustrated answereing the inane test questions. Also had to show ID, sign in, sign out, utter nonsense. I did pass the exam, as I’ve done several times before, won’t have to take the stupid thing again for another ten years. Have already sent in my app for this new board, hopefully, we can avoid this kind of rude treatment and constant demand for more and more fees with this idiotic MOC process, I applaud your efforts. It’s about time we physicians stood up for ourselves, banded together, and tell these racketeers ENOUGH!

  30. Will you expand to allow those certified by AOBIM?
    Part of a large group – 30+ – mostly Internist, few FP, all Hospitalist, many are DO’s, all MD and DO are interested in this.

  31. Are you planning to add Geriatric Psychiatry? I have been training fellows, and they will be very happy to know there is an alternative for them. The whole thing of MOC seems like a scam. Rules been imposed without clinical evidence. There is too much money changing hands without accountability.

  32. I couldn’t agree more with the problems with board certification MOC. I will join just for solidarity and to provide financial support, but I am looking forward to this effort being extended to my current board certification area of pediatric hematology-oncology. The recertification and ongoing training process has become a Tower of Babel, with numerous, duplicative efforts distracting to the practice of medicine. Disproportionate attention is being directed to esoteric and bureaucratic aspects of medicine that attention to core competency is becoming lost. The “open book” approach is a fact of medical practice, and that fact is becoming lost to regulators and usually excluded as a component of examination. There still is an overreliance on factoid recollection rather than patient management approaches.

  33. Thank you so much for doing this!!! With such a trustworthy board, I really hope this organization gets the appreciation it deserves. I am practicing cardiologist, and I am in full support of this alternative to ABIM.

    Dr. Vladimir Fridman, MD

  34. I’m in. But you ought to try being a DO interventional cardiologist in a state like Oklahoma. I can spend a week at TCT or a couple of days at a CTO meeting and none of it matters for licensing for me here in Oklahoma. I have to go to a local meeting to learn about things like gynecologic emergencies in the office to keep my license to be an interventional cardiologists. They are all just a racket to get our money.

  35. This is an interesting alternative, although not the only one available aside from ABIM; the American Board of Physician Specialties exists. The issues that must be addressed before I believe this to be a viable option include, (a) will certification through the NBPAS be recognized and accepted by the public, hospital credentialing offices, and insurers? It must be done by all three lest it be irrelevant. Even if the hospital accepts it, without insurers willing to include one on their panel, it would not achieve its ultimate goal of parity; (b) why is the CME threshold for certification less than the actual number needed for relicensure? What was the raionale, derivation, or evidence behind 50 hours? (c) $169 for 2 years of certification is still $845 for the 10 year window that ABIM certification encompasses. Again, how was this number calculated? (d) Since the finances of the ABIM’s Board has come under some scrutiny, how much does this Board get paid?

    1. 1) We agree, we must get acceptance by hospitals and insurers and public. BUT…you can help! On this website is a sample letter to send to your hospital Chief of Staff. You can also spread the word through your medstaff and through social media

      2) 50 hours of CME every two years was selected because it is the average among states. A few states require more. This can be re-examined but the 50 hour number has not be questioned by others

      3) The cost is targeted initially to be a lot less then ABMS (it is about 23% of ABIM costs). Ultimately we will adjust the cost as required (hopefully lowered) There are no salaries at this time

  36. Please, don’t forget about the Osteopathic Physicians & Surgeons, as we too are facing all the controlled non-sense of re-certifications and osteopathic continuing certification OCC=MOC, regulations, financial hardships, and mandated membership to the American Osteopathic Association (AOA).

    The AOA threatens that they will revoke current, valid board certifications if membership isn’t paid yearly.

    I just re-certified once again and for the last time. My time-dated certification expires in 2022, sooner if I drop out of AOA mandated membership.

    Our Constitutional Rights are being seriously violated; it must stop. What happened to America?

    Thanks for all of your help and hard work. Looks like it is paying off and soon, together we will take back our profession of Medicine and be able to do our job and put patients first.

  37. I’m so happy this is going forward! My ABIM certification doesn’t expire until 2017, but I would like to support the effort now. If I apply now will it certify me from 2015 for 2 years, or from my ABIM expiration date?

  38. Woo hoo! Power to the people (physicians)! It’s about time we stopped being the pawn in everyone’s elses game/scam!

  39. I own a very specialized solo medical practice and haven’t performed traditional family medicine in years. However to see some of the patients that want to see me, it requires me to get certified for some insurances which require board certification. Not only I’m being forced to be tested on medical conditions that I will never see, I also have to spend money and time away from my practice, of which is getting less and less. It’s hard enough trying to keep a solo practice up and running in 2015. MOC is hurting doctors like me, as well as preventing us from reaching the patients we could help.

  40. Thank you very much for facilitating this. I signed up today. Thank you for your continued efforts against MOC and ABIM scam

  41. Can you make the system remember what someone one puts in towards the application and leaves the rest for later.
    Everyone may not have all the documents at the time they start to fill in the application.

  42. Dr. Teirstein,

    We appreciate all of your great efforts recently regarding the MOC scam. I’m currently a cardiology fellow and I was wondering whether the NBPAS has considered waiving the fees for fellows in medical subspecialties (ie: for our internal medicine certs) so that you might increase adoption amongst the younger physician population? Please let me know if I can help in any way.

  43. Very interested in ridding myself of the American Board of Radiology (Radiation Oncology) and this may be it.
    It will be helpful if a sample certificate is posted on-line so we can see it’s presentation and content in order to judge its authoritativeness.
    Who is accepting or is anticipated to accept this certification now, next year, etc. re: hospitals, insurers etc.? For example, for those physicians on your board, what are the administrative and medical staff privileging committee discussions in their hospitals?
    What is the critical mass of physicians needed for this concept to remain viable? What is your projection?

  44. Thank you for your efforts. I just applied for NBPAS certification. I also contacted ABIM for a refund of my MOC money. Before I accept their refund offer, would you be able to answer a few questions:
    – As far as you know, are hospitals/insurers accepting the NBPAS certification in lieu of “maintaining cetification” by ABIM?
    – I still intend to take the ABIM recertification exams every 10 years. Do you know if not participating in MOC will prevent me from being able to take these exams?
    Thank you again for spearheading this initiative.

    1. To remain eligble to take the 10 year exam, I’m pretty sure you’d have to meet all of the other MOC requirements

  45. 1) This is far too expensive. Seems like a nice money making scheme. You rail so much against the ABMS, and then you do the same thing.

    2) It’s pointless unless you can provide proof that this will be accepted by all the entities that require Board Certification. You’re promising something without value. Prove that this can replace the ABPN certificate. You need to consider every possible current and developing situation where the ABPN is required. Have you done so? Where’s the proof?

    3) Why not just drop the whole certification thing? Why force CME which is another money making scam that has little to do with actual learning? If ALL doctors quit participating in this junk, then what would people do? Fire us all? You’re just playing into their hands, and as I noted, joing ‘them’ in making money once again from doctors.

  46. Please extend to Psychiatry as soon as possible. I am beyond irritated at the MOC requirements and the money required per year just to “be in good standing.” I am 100% behind NBPAS

  47. Please extend this re-certification to pathology as soon as you can! Our certificates are in the process of being hijacked as well.

  48. MOC was supposedly designed to make it easier for clinicians to become recertified every ten years or so depending upon their specialty. It was hijacked and mandated by insurance companies and hospitals, not for the reason of maintaining competence, but for regulatory issues. If an MD does not want to become recertified by MOC or otherwise, he may be dropped by an insurance carrier. MOCs and CME take valuable time away from clinical practice and effect income when the M..D. is not present because of CME requirements for state lilcensure as well. There is no evidence that physicians who have an MOC or a recertification are more or less competent than others in their field.

  49. What specialties are covered, and what specialties are being developed?

    Is there any activity/discussion with specialty societies and insurance carriers?

    Of the various nations ranked ahead of the United States in health outcomes, how many require similar MOC and recertification exams, and how many do not?

    1. In the next few weeks we will focus on ABIM specialties. We will expand soon. We need your help. If you believe in this project, please apply for board certification. On the website, click on the “WHY NBPAS” tab for a summary you can use to educate your hospital’s Chief of Staff, Medical Executive Committee, administrators, colleagues, and patients, about the controversy and why NBPAS certification is important. At this time we are not asking for contributions. Instead, we believe it will be more effective if many physicians apply for certification. We are counting on physicians like yourself to “jump start” this organization so we have funds to hire staff and get our message out to other physicians, hospital administrators, payers and patients.

      1. Paul, I’d like to help but can’t apply as you suggest . Would you/your board consider creating a page where individuals can log their name, specialt(ies) and reason for interest in this certification pathway?

        If the ABIM were non profit, then why not impose one fee regardless of number of training completions being maintained. .. the fees become outrageous. I maintain 4 ABIM certificates; none obviates another fee based exam: pediatrics, anesthesia, pediatric anesthesia and critical care medicine. None of the exams test what I practice-pediatric cardiac anesthesia and critical care. It is absoluteley insane, with ABIM vague promise of future coordination, when some subspecialty exams (critical care) have been around over a decade!!

      2. Dear Dr. Teirstein,

        Thank you for you strong efforts in this important matter. I sincerely hope that you will soon accept Family Physicians.
        I feel that ABMS has entirely failed us and I no longer have any trust in their organization and those affiliates who continue to follow them like sheep.

      3. Bravo! Congratulations, Dr. Teirstein, well done! I support your cause 100%. ABIM requires me to recertify IM yet again in 2017 (status post 1997 and 2007). My plan is to dual-certify with NBPAS now, so that my 2017 recertification with ABIM can be my last. By the year 2027 NBPAS will probably have equal status with ABIM, if our colleagues seize their professional prerogative and vote with their feet. Frankly, if I were not so risk-averse, I would fly solo with NBPAS now, but I am a belt-and-suspenders guy and I’m too old to change that.

        Coca-cola tastes great because of Pepsi-cola. Without competition, all enterprises degenerate (e.g. USPS). By creating a choice, you are ensuring that the overall board recertification process will improve for all stakeholders, guided by the invisible hand of the free market.

        Best Wishes for Success!

      4. Paul, Thank you for this brilliant move to help all of your colleagues to remain certified and to be able to focus on patient care, instead of being exploited by the self-serving ABMS. You have no idea how much this solution has brought peace to me.

        I have been outraged at how intimidating and demeaning it has become for us physicians, because of the constraints put on us by these self-appointed colleagues of ours, to determine if we are worthy to continue in our practice of medicine.

        I have re-certified several times. I have finally come to the conclusion that it is a racket and I decided no more, I had had enough of this having to prove worthiness to these strangers. Continuing medical education and low cost renewal respects us all as the hard working physicians that we are. Thankyou, Paul, for bringing respect for one another back to our medical profession.

      5. Hello Paul, I joined right away (next day) after getting this exciting news.

        Is there any way I might gain appointment to some committee or such so as to participate in spreading the word?

        any opportunities for volunteerism available?

        I am already telling colleagues, many are as steamed as I am at the madness of ABIM.



    2. As to the specialty societies piece you mention, beyond endorsing reform of ABIM, I’d like to see this organization pressure these societies to develop a reduced rate for members who belong to multiple affiliates. For example as a teaching academic pediatric anesthesiologist practicing congenital cardiac anesthesia/critical care, I belong to a minimum of 6 “core” societies. Their aggregate dues empty my professional expense account. (AAP-pediatrics, ASA-anesthesia, SPA-pediatric anesthesia , SEA- education in anesthesia, CCAS-congenital cardiac anesthesia , SCCM-critical care medicine)

  50. Excellent idea for board certification. Easy to apply and very affordable! Very trustworthy board of directors as well.

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