Letter to the Editor
I think the real challenge for MOC programs is to prove that they improve patient care beyond what physicians could accomplish on their own, contrary to Dr. Reginald Duling's article. (“Merit Badge Medicine and the Insult of Board Recertification,” EMN 2017;39[2A]; http://bit.ly/2kl0SPp.) A self-motivated physician is going to keep up with changes and recommendations in best practice in his own time.
So where is the evidence that shows MOC requirements improve patient care while a physician who knows his own lacunae can't do the same by initiating and maintaining his fund of knowledge and skill? Where is the evidence?
John G. Boulet, MD