As a pediatrician and having recently finished a cycle of re-certification, I did not expect to revisit this topic [Maintenance of Certification (MOC)] soon. However, now I have had some time to reflect. It seems to me that to require ongoing certification with recurrent exams, three questions need to be answered:
1) Does it lead to better medical outcomes?
2) Does it lead to fewer malpractice cases?
3) Does it help us practice medicine more efficiently (better care with less cost and less time)?
I’m not saying that MOC does not meet these goals but I have not been presented with any evidence that it does. Are the data out there? If so, why doesn’t the American Board of Pediatrics (ABP) present it?