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Dear Practicing Physician, 
This month, the American Gastroenterological Association (AGA), the American College of Rheumatology (ACR), and the American Board of Anesthesiology (ABA) have all declared the uselessness of MOC. Previously, the  American Association of Clinical Endocrinologists (AACE),voiced their opposition to MOC and now, other professional medical organizations are doing the same.  Please continue to talk, tweet and discuss your opposition to MOC with your medical societies, organizations and with your collegeaues.   Does your hospital or insurance require MOC? Let us know at Sign the ongoing Anti-MOC petitions and voice your concerns.

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"When dictatorship is a fact, revolution becomes a right."
 Victor Hugo 

American Board of Anesthesiology Makes Changes to MOC Requirements

Dear Diplomates,  The American Board of Anesthesiology (ABA) will launch MOCA 2.0, the redesigned Maintenance of Certification in Anesthesiology Program (MOCA), on Jan. 4, 2016. As part of this effort, we are making changes to MOCA Parts 2 and 4, and wanted to share the details with you.

American College of Rheumatology Slams MOC

"Rheumatologists without a doubt believe in the value of continuing medical education,” said E. William St.Clair, MD, American College of Rheumatology president. “However, our members strongly feel the ABIM MOC program not only fails to appropriately assess their competence but lacks evidence that patients are benefiting from their involvement with it.”

AGA Proposes Alternate Pathway to Recertification

Frustrated by a maintenance of certification process that doesn't improve patient care, the American Gastroenterological Association (AGA) this week released a proposed alternate pathway to recertification that is based on established learning theory. It eliminates the high-stakes examination and replaces it with active, adaptive, self-directed learning modules that allow for continuous feedback.

The ABIM Foundation: Increasing Transparency or More Cover-up? - Dr. Wes Fisher

It is one thing to have a financial scandal. It's a whole new thing when you try to cover it up. But it appears this is what we should expect from an organization that has exhaustively defined their version of the term "medical professionalism" using testing fees of practicing physicians worldwide. 

The Absurdity of MOC - Dr. Caroline Poplin (Must be logged into Medscape)  

I will never do it again.  Last October I took the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) exam. It was hard enough to believe that, at age 67 (I went to medical school at 40, after a career as an attorney), I still had to take a high-stakes, 8-hour, very difficult, multiple-choice exam, full of the usual tricks and traps, no different from those I took in 1994 and 2004.  It was awful.

The Real Cost of MOC is Stunning - Dr. Tara F. Bishop 

In the past few years there has been tremendous criticism of the American Board of Internal Medicine’s (ABIM’s) maintenance of certification (MOC) program.  The MOC program was significantly expanded in 2014 and required doctors to get 100 MOC points every 5 years and do at least one MOC activity every 2 years.

What MOC does to your Initial Certification.

Immediate Action Items

1. Online Patient Survey
This survey is critical in obtaining data that counters the ABMS claim that patients "demand board certification". Currently, we are at over 600 responses and we need at least 1000. Please continue to utilize this form.  Click here for the survey.  There is also a PDF version. Click here

2. Physician State to State Recruitment
Physicians must speak out against the abuses of MOC locally. Whether it is to your collegues or state, it is critical for physicians to join the AntiMOC movement and become representatives of your state.  If you choose to become an AntiMOC rep., we ask you to recruit at least 2-3 colleagues to join this movement either from your own state or another state where we lack representation.  See the list of the current states represented and those states that are not represented. There is strength in numbers as we fight the MOC behemoth that has gone unchecked for too long.

3. Opportunities 
AntiMOC reps also can identify settings in your area where the truth behind MOC can be presented. We might identify a physician willing to present to your group. Possible settings: medical exec. staff meetings, state or local medical society, specialty society, etc.  Please let us know your needs and we will do our best to assist you in your efforts. You are not alone in this fight!

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  1. MOC, MOL, OCC, & C-MOC
  2. Change Board Recert-The Start of a Movement
  3. AAPS takes MOC to Court
  4. OCC  Info
(Click on the state to see resolutions)

Michigan (updated)
New Jersey
New York

North Carolina
South Carolina

1. Dr. Tierstiens PPT to Educate others about MOC Fallicies
2  PPT to discourage MOC in hospitals.
Statement by AACE on Lifelong Learning
4. ABIM 501C Scam?
5. ABIM Nonprofit or For Profit
1. ABFM - Click here
2. ABA - Click here
. ABPN - Click here 
4. ABP - Click here                                                
1. PA Med Society Debate - Click here.
2. Beyond Mere Certification -Dr. Paul Kempen  Click 
1. 72nd Annual AAPS Meeting Click here
1. Dr. Kelly Ward - Arizona  Click here
2. Dr. Dawn Buckingham- Texas Click here

 The Anti-MOC Campaign

Together, we can beat MOC/OCC/MOL!
How is it going?   Please share any updates, challenges you face in your area, ideas or comments. Email us at