I also want to explore ways to increase the value of ABEM’s MOC program to our diplomates. When you examine the cost and time commitment emergency physicians spend in MOC, it’s fairly modest. The annualized cost of MOC is $265, which is about $5 per week. ABEM has kept the cost of the Lifelong Learning and Self-Assessment (LLSA) activity fixed for the past four years and the ConCert Examination unchanged for the past three years. ABEM’s participation in the Physician Quality Reporting System (PQRS) MOC bonus program through the Centers for Medicare & Medicaid Services added nearly $4 million in available revenue for emergency physicians. ABEM also provides low-cost CME opportunities with the LLSA through ACEP and the American Academy of Emergency Medicine (AAEM). All of the revenue from the CME activity goes to ACEP and AAEM as the accredited CME providers.
I recognize that the MOC program is not perfect. We, the ABEM Board of Directors, are continually looking for ways to improve the value, relevance, cost, and meaning to our diplomates. As one prong of this approach, we are watchful of changes made by other boards to their MOC programs. For example, we are closely watching how the American Board of Anesthesiology is changing from an every-10-year exam to weekly online quizzes. If this pilot is successful, we could see how this approach might be applied in the ABEM MOC program.
What is your vision for ABEM, especially as it impacts other organizations?