(No subject)

[Guest guest]

Fwd: (no subject)

This is way too funny.........

One Sunday morning, the pastor noticed little , standing in the foyer of the church staring up at a large plaque. It was covered with names with small American flags mounted on either side of it.

The seven year old had been staring at the plaque for some time, so the pastor walked up, stood beside the little boy, and said quietly, "Good morning ." "Good morning Pastor," he replied, still focused on the plaque.

"Pastor, what is this?" he asked the pastor. The pastor said, "Well, son, it's a memorial to all the young men and women who died in the service." Soberly, they just stood together, staring at the large plaque.

Finally, little 's voice, barely audible and trembling with fear, asked, "Which service, the 8:30 or the 10:45"?

[Guest guest]

Jim and ,

Well by Gosh someone just admitted it ( the self serving nature of the certification process) and thanks for doing so! Bob Keaveny of Physician's practice had a good piece on the lack of evidence that certification leads to better outcomes/patient care.

Jim, can you provide a citation for your claim that boarded Docs have ability not possessed by non boarded docs? As we all know, "data" can mean anything.

Kathy and - I dont mean to pick a fight or sound critical, but you both made claims in defense of the cert, process that demand answers- the notion that a Doc can be proved dlinically competent only by a board exam is just wrong. Yes, some CME can be blown off, but not med school, parts 1-3 of licensing boards, or internship/transitional year, correct?

To me, the notion that state lic. boards are going to require certification is the worst type of nanny statism and supporting turf battles. What is so unacceptable about an experienced, competent GP anyway, esp. if the patient accepts this in an informed manner?

I'm with in that the insurers, hospitals and credentialers use any excuse they can to deny payment or access to us, and by us kowtowing to the cert process, we just prove we are willing to jump thru yet another hoop at our own expense. When do we ever say, enough!? And we wonder why healthcare is shockingly expensive in the US?

Riddle me this- if BC is there to prove competency, why do some boards (all, even?) require association membership (AMA, AOA) for three years prior to even apply for the exam? Memebership in a trade group does NOT make anyone a better physician.

Respectfully, .

zell, DO, MPH.

1061 Whispering Lakes Dr.

Madison, GA 30650