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Comment & Response
January 2, 2018

Self-regulation of the Medical Profession and Maintenance of Certification

Author Affiliations
  • 1Department of Surgery, Washington University School of Medicine, St Louis, Missouri
JAMA. 2018;319(1):84. doi:10.1001/jama.2017.17708

To the Editor Dr Johnson opposed Texas SB 1148, legislation negating most economic and professional consequences of MOC nonparticipation.1 Several statements presented in support of this position are debatable.

The Viewpoint stated that MOC participation is “associated with improved patient care.” However, in the study cited, MOC participation had no effect on the primary end point, ambulatory care–sensitive hospitalizations among Medicare beneficiaries.2 More generally, data linking MOC participation to clinically important outcomes is lacking for most disciplines.3 It is difficult to argue that SB 1148 will have any discernable effect on health outcomes based on current evidence.