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Comment & Response
January 2, 2018

Self-regulation of the Medical Profession and Maintenance of Certification

Author Affiliations
  • 1Doctors Hospital at Renaissance, Edinburg, Texas
JAMA. 2018;319(1):83-84. doi:10.1001/jama.2017.17699

To the Editor The Viewpoint1 regarding maintenance of certification (MOC) requirements and Texas Senate bill (SB) 1148 asked practicing physicians to make a leap of faith that many cannot accommodate. Unfortunately, that leap of faith is central to the author’s argument.

As Dr Johnson pointed out, self-regulation is a core attribute of the learned professions. It encompasses the responsibility and authority to establish and enforce standards of education, training, and practice. Physicians routinely defend that responsibility and authority in advocating against the intrusion of all third parties (such as government, private insurers, or hospital administrators) into the practice of medicine.