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Editorial |

Certifying the Good Physician A Work in Progress

Thomas H. Lee, MD, MSc1,2
[+] Author Affiliations
1Press Ganey, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
2Harvard School of Public Health, Boston, Massachusetts
JAMA. 2014;312(22):2340-2342. doi:10.1001/jama.2014.13566.
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This Viewpoint discusses the need for physicians to work constructively to help improve the Maintenance of Certification program and commit to lifelong, meaningful learning to ensure that their knowledge and skills remain current and relevant.

In recent decades, two important but distinct questions relevant to the evaluation of physicians have become increasingly intertwined. The first of these questions is “Who is good enough?” The second is “Who is trying to improve?” The latter issue has become critical due to the accelerating rate of medical progress and the growing complexity of health care delivery. In the current era, good physicians are defined by more than passing difficult tests early in their career; good physicians are individuals who are also working to become better—actively engaged in keeping up with medical progress and measurably trying to improve the care they provide.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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The Start of A Conversation About MOC
Posted on December 9, 2014
Howard Bauchner, MD
Journal of the American Medical Association
Conflict of Interest: JAMA Editor in Chief; not currently participating in maintenance of certification activities.
Since the American Board of Internal Medicine changed their maintenance of certification (MOC) requirements early this year, the forms MOC takes and its meaning to contemporary clinical practice have come under intense scrutiny. Two studies in this issue of JAMA – http://ja.ma/1yI8A89 and http://ja.ma/1vLM38u - suggest no association between MOC quality measures. Despite these findings, Dr. Lee in this editorial suggests that physicians have a professional responsibility to have an MOC process in place. Do you agree? MOC has changed just as health care has. Is the MOC process any better or worse now than in the past? What should the future of MOC look like? We invite your comments on this and our other articles.
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