Much anti-MOC activity has been born out of a hostility within other specialties. We are fortunate that, within emergency medicine, there has been open communication, even when there is not always agreement about the best approach. We think there is a growing awareness that anti-MOC legislation would injure professional self-regulation, which is the publicly stated opinion from our colleagues at the American College of Surgeons. We would welcome ACEP joining us with a similar position. The medical profession has already lost a lot of ground on cost control, access to care, and quality improvement, and now some physicians are trying to legislate away our ability to regulate ourselves. We believe that emergency medicine has an opportunity to be a leader in revising continuing certification and helping emergency physicians become even better doctors while showing a united front in preserving professional self-regulation.