Scott Lake

Palliative Medicine Physician - Matching Treatment to Patient Goals (tweets my own)

[Scott Lake @doclake]

@RadioWyatt I was in the Superdome when Dontae helped bring home the SEC championship

[Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 @DrMarthaGulati]

New year.
More ABIM (spending my day off doing my MOC)
More fees
Hope they are still getting awesome salaries for their executives

The only country in the world where your medical certification goes on and on♾️, helping the ABIM stay afloat…
#ABIM @doctorwes

[Scott Lake @doclake]

https://t.co/dgCSvPuiXz

[Scott Lake @doclake]

@gmraynor State much better than their record

[Scott Lake @doclake]

@SecVetAffairs Second rate Cerner

[Scott Lake @doclake]

@SecVetAffairs @DeptVetAffairs Hatch

[Scott Lake @doclake]

@doctorwes @ABIMcert @AmerMedicalAssn @ABMSCert Wes- Abim latest propaganda

[JAMA Internal Medicine @JAMAInternalMed]

Hospitalized patients of physicians with higher preliminary Longitudinal Knowledge Assessment scores experienced lower 7-day mortality and readmission rates. https://t.co/ULou2QtU1b

[Scott Lake @doclake]

@drjohnm Currently suffering with you. Have a retired neighbor that blows 30m EVERY day

[The Rogue Dermatologist @YuvalBibiMDArt]

Here’s a proposal for DOGE to reduce physician burnout and improve physician access: revoke the nonprofit status of monopolistic federal “medical organizations” such as the American Board of Medical Specialties (ABMS) and its specialty subsidiaries, and file an injunction to stop the Maintenance of Certification (MOC) process. These organizations force physicians to “maintain” their hard-earned board certification by paying annual fees and participating in various activities that claim to maintain and improve quality. This is in addition to—and often just as burdensome, if not more so, than—the Continuing Medical Education (CME) requirements that all physicians must complete regularly.

There is no evidence that these activities, which are largely generic and disconnected from actual clinical practice, provide any meaningful benefit. They were gradually introduced over the past few decades by fiat and imposed without question, leaving no control group or clear metrics for evaluation. This is unrealistic from the outset, given that every physician manages different patients under unique circumstances.

The MOC process—now renamed the Continuing Certification Process (CCP)—directly impacts a physician’s ability to obtain insurance credentialing, hospital privileges, and malpractice insurance rates. This amounts to a cartel-like system that drains physicians of their time and money, enforced under the threat of severe financial consequences and loss of professional standing. And this happens after a physician has already completed specialty training, passed board exams, and been certified.

Ironically, these measures were introduced under the banner of “public demand.” Yet few outside the medical field even know what these boards are or what they do. Meanwhile, non-physician professionals are now creating their own “boards” and claiming “board certification,” further eroding what little public awareness or prestige the concept of board certification ever had.

In summary, the Maintenance of Certification system is a monopolistic racket that forces physicians to spend valuable resources without proven benefit. It demoralizes countless physicians, restricts patient access to care, and has become increasingly meaningless to the public with the rise of alternative professional boards.
@elonmusk
@DutchRojas
@realdocspeaks
@noahkaufmanmd
@anish_koka
@CoffeeBlackMD

[Scott Lake @doclake]

@ArtCandee Most complicated suicide I’ve ever heard of

[Scott Lake @doclake]

@ABIMcert portal is down. Unable to do MOC questions. And call center unavailable. Unacceptable @ABIMFoundation

[Scott Lake @doclake]

https://t.co/6Ei1vnq2u4

[Scott Lake @doclake]

@usopen Emma

[Eric Widera, MD @EWidera]

“Available data do not confirm that lecanemab and donanemab are disease-modifying.” #Alzheimers #endalz https://t.co/2fTPJjp7t3

[Scott Lake @doclake]

@suzie_bash @LEAD_Coalition Not clinically significant and 1/4 developed cerebral edema. Think it’s hard to get an MRI now. Wait until they’re clogged up with routine scans for these drugs

[Scott Lake @doclake]

Only @ABIMcert would conduct “routine” website maintenance during weekend hours when docs taking MOC exam @doctorwes

[Sunita_Puri @SunitaPuriMD]

It was such an honor to chair this panel at ASCO and to emphasize that respecting our humanity as oncologists and doctors in general means understanding the difference between cure and care, to understand our suffering alongside that of our patients.

[Ira Byock @IraByock]

Greed is destroying American health care - including hospice care! Outrage is warranted. Let's raise our voices! Sign the Declaration Against GREED in Health Care https://t.co/mZtWTxJL7b

[Scott Lake @doclake]

Preying on the dying: how private equity gets rich in #hospice care. #hpm @ceprdc @IraByock @DianeEMeier https://t.co/sYMzd9bEAf

[Vincent Rajkumar @VincentRK]

ABIM Maintenance of Certification (MOC) for physicians is a redundant imposition leading to burnout and resentment.

Physicians are voicing their concerns to the DOJ which wants to hear from us. See thread for link.

@InfoNbpas @AaronGoodman33 https://t.co/uLAOCN0Sqv