1. Many Members, One Voice Maintenance of Licensure: A Quick Overview

2. Current FSMB Policy (2004) State medical boards have a responsibility to the public to ensure the ongoing competence of physicians seeking relicensure.

3. Special Committee on Maintenance of Licensure Recommendations for use in implementing initiatives to assure continuing competence of physicians seeking relicensure  Draft report circulated for comment (11/07)  Final report issued to board of directors (2/08)

4. MOL Recommendations Demonstrate compliance in three areas  Self-assessment/self-reflection (Continuous Professional Development)  Competence across six core areas  Performance in practice

5. Additional MOL Recommendations Require documentation  MOC could serve as proxy  QI activities appropriate for some MOL requirements Hold all licensees accountable Seek partners to develop research agenda

6. Feedback on Draft Report State medical boards  Financial and operational impact  Lack of infrastructure to allow compliance  “Unfunded mandates” Practicing physicians  More burden, cost Affiliate organizations  Implementation questions

7. FSMB BOD Recommendations Adopt guiding principles Conduct studies and pilot projects to understand impact of MOL

8. MOL Guiding Principles Adopted in 2008 Improve physician practice Administratively feasible Minimize burden, duplication Choice of options Balance transparency with privacy protections

9. Next Steps Conduct research to understand impact  State medical boards  Other stakeholders Conduct pilot projects Develop evidence base Encourage medical boards to adopt regulations requiring CME to be practice relevant