I was told there would be no math…
In case anyone is STILL worried about whether their doctor knows what she’s doing, the Federation of State Medical Boards (FSMB) which represents 70 different specialty boards has a new initiative to tighten the regulations for maintaining licensure for doctors.
The medical licensure and certification process is a paperwork blizzard the likes of which most people have never seen. In my institution the “re-application” for the priviledge of practicing medicine at the hospital must be done every two years. Costs like a hundred bucks. Requirements include: A copy of the re-application for licensure in my state (a different application with a $500 fee), a copy of your medical license, a copy of your federal drug enforcement agency number, a copy of your state drug enforcement number (oh, yes, two numbers), a copy of your anesthesia board-certification letter, the application form itself, separate documentation of any lawsuits in which you have been involved, whether you were dropped from the suit or not, proof of continuing medical education credits (a whole other topic), and proof of malpractice insurance coverage.
All of these documents must be assembled every two years and sent to a company that the hospital pays to make sure you have all the forms. There’s a whole company just for that. Your health care dollars at work. It doesn’t matter that these same forms are collected every two years. You have to send all of them in again. Who assembles these forms? I do. Yup. Most doctors, you may be surprised to find, don’t have secretaries or personal assistants to do this stuff for them.
So add on top of that the anesthesia boards new requirements for maintenance of certification in anesthesia. A multiple choice exam ($$$). Simulator exam ($$$). “A medical practice performance assessment and improvement program” (???). Here’s what the American Society of Anesthesiologists say these requirements do:
“…MOCA (maintenance of certification in anesthesia) keeps physicians up to date in knowledge and practice and improves patient safety.”
OK fine. Fair enough. It also costs a lot of money and time.
So now FSMB wants to add some more stuff for us doctors to do. Jeez. If the regulations were any tighter I’d need spanx.