Our specialty boards like ABIM should have directly elected directors and presidents by diplomates, with limited terms. Possibly even merged with specialty societies (like ACP). This racket is almost universally hated by physicians and membership is nonvoluntary.

Could not agree more. But then, that’s not the “Chicago Way” is it?

In orthopaedics, a recent study looked at the total costs of ten year MOC / re-certification to be more than $70,000. It is time consuming and expensive. Achieving Initial certification matters greatly, but four recert cycles in a career costs us north of $280,000!!!

So so so many rackets.

Dr. Fisher - in my discussion with hospital admin they say the stumbling block with NBPAS is that payers in Indiana do not recognize NBPAS and hence patients won’t be able to see a physician not boarded by ABIM. You think this is accurate?

NBPAS satisfies all rules outlined by law for recertification. The rest is pre-negotiated market manipulation by insurers, hospitals, and members of the ACGME in my humble opinion.