PHYSICIAN BOARD CERTIFICATION and COMPETENECY VERIFICATION OPTIONS AND

PHYSICIAN BOARD CERTIFICATION and COMPETENECY VERIFICATION – OPTIONS AND CONTROVERSIES Michael James Casey, MD

PHYSICIAN BOARD CERTIFICATION – OVERVIEW • History and overview of board certifications • Definition of Board Certification • Evolution of board certifications • Value of certification : Initial and continuous. • Benefits and Pitfalls of having competing Boards. • Trends of where certification is going: changes in the industry.

PHYSICIAN BOARD CERTIFICATION – HISTORY American Board of Ophthalmology first specialty board in 1917 ABMS: Founded 1933 AOA: Founded 1939 ABPS: Founded 1950 NBPAS: Founded 2014

PHYSICIAN BOARD CERTIFICATION – DEFINED Board certification demonstrates a physician's exceptional expertise in a particular specialty and/or subspecialty of medical practice. Certification by a Member Board involves a rigorous process of testing and peer evaluation that is designed and administered by specialists in the specific area of medicine.

PHYSICIAN BOARD CERTIFICATION – DEFINED (CONT) • Individual Boards Are Plentiful – How to differentiate between credible and non-credible boards? • How Do We Define Board Certification? • How are these boards held accountable?

PHYSICIAN BOARD CERTIFICATION – EVOLUTION • • • Initially a competence and sign of academic success MDs vs. DOs Lifetime Certification & “Grandfathering” MOC Competing boards

PHYSICIAN BOARD CERTIFICATION – VALUE • • • Public assurance of competence. Marketability. Respect and acknowledgement from colleagues.

PHYSICIAN BOARD CERTIFICATION – BENEFITS & CHALLENGES • BENEFITS • Jury is still out. • Certainly no evidence that MOC increases quality. • CHALLENGES • Physicians deplore unnecessary burdens • MOC

PHYSICIAN BOARD CERTIFICATION – CURRENT CONTROVERSIES? • MOC • The battle of the boards • Trustworthiness of non-profit board • Political influence of boards on government

PHYSICIAN BOARD CERTIFICATION – TRENDS SHOULD THERE ONLY BE ONE BOARD OF CERTIFICATION? • Innovation in medicine? • Anti-trust laws? • Competition good?

PHYSICIAN BOARD CERTIFICATION – PROFESSIONAL STANDARDS WHAT IS A REASONABLE APPROACH TO EVALUATING AND ACCEPTING BOARD CERTIFICATION?