As a board-certified urologist for almost fifteen years, I have jumped through every hoop the ABU has placed before me and have remained in good standing; however, I will no longer participate in the meaningless charade known as Maintenance of Certification (MOC). I successfully completed the original certification process and the subsequent recertification process, but enough is enough. The ABU has strayed far beyond its original mandate to ensure excellence in urologic training and has added yet another onerous burden onto the backs of practicing urologists.
The 2002 Physician Charter, which served as the foundation of MOC, is a flawed and disingenuous document that has one surreptitious purpose: to give specialty boards more power and control over their diplomates. How dare the ABU question my demonstrated commitment to lifelong learning! How dare the ABU attempt to lecture me on professionalism and ethics! How dare the ABU place the “benefit of the public” above the welfare of its diplomates! The “public” doesn’t pay the ABU’s expenses. The “public” doesn’t struggle under the weight of the ABU’s “evolving” mandates. The “public” doesn’t care a whit about the ABU’s rubber stamp of approval. The ABU should be focused on helping urologists provide “high quality, safe, efficient” care for their patients—the “public” has nothing to do with it.