6 // THE NEW GASTROENTEROLOGIST: INSIGHTS FOR FELLOWS & YOUNG GIS FALL 2015
News from the AGA
Exam for MOC
Frustrated by a maintenance of certification process that didn’t improve patient
care, AGA convened a task force to propose an ideal pathway for recertification.
The AGA proposal, unveiled online this
August in both Gastroenterology and
Clinical Gastroenterology and Hepatology, eliminates the high-stakes examination and replaces it with active and
adaptive learning self-directed modules
that allow for continuous feedback, and
are based solidly on learning theory.
Read the full proposal, Bridging
the G-APP: Continuous Professional
Development for Gastroenterologists:
Replacing MOC with a Model for Life-
long Learning and Accountability, at
S0016-5085( 15)01177-4/pdf, and the
editorial, An Alternative to MOC?, at
S0016-5085( 15)01178-6/pdf (log-in
required). The proposal will be avail-
able in the November print issues of
Gastroenterology and Clinical Gastroen-
terology and Hepatology.
Provide feedback to AGA on our survey page ( www.surveymonkey.com/s/
“There is now a greater emphasis
than ever before on disease path-
ways, clinical guidelines, and quality
improvement, making it important
for physicians to remain current with
newer recommendations and practice
standards,” said Dr. Michael Camilleri,
President, AGA Institute. “Maintaining
certification should be a process of ac-
tive learning, not high-stakes testing.”
• Individual self-assessment path-
ways allow physicians to achieve a high
level of competency in one or more
areas, while maintaining a general level
of competency in other areas.
• Individualized self-assessment activities provide constant feedback and
opportunities for learning and replace
the high-stakes exam now required every 10 years.
• Physicians get credit for activities
they are already doing in practice, research, or teaching.
For more information, watch a quick
video introduction (https://www.
by Dr. Suzanne Rose, MSEd, AGAF,
Education and Training Councillor on
the AGA Institute Governing Board. We
do not expect the process to change
overnight, but we’re getting the conversation started in a substantial,
meaningful way. AGA supports continuous education and professional development that enhances patient care.
Thanks to AGA members who served
on the task force:
Suzanne Rose, M.D., MSEd, AGAF
Brijen J. Shah, M.D.
Jane Onken, M.D., MHS, AGAF
Arthur J. DeCross, M.D., AGAF
Maura H. Davis
Rajeev Jain, M.D., AGAF
Lawrence S. Kim, M.D., AGAF
Kim Persley, M.D.
Sheryl A. Pfeil, M.D., AGAF
Lori N. Marks, Ph.D. n
AGA Fights for Fair
Earlier this summer, CMS proposed drastic cuts to the 2016
Medicare physician reimbursement rates for colonoscopy
and other lower GI endoscopy procedures. AGA, in coordination with ACG and ASGE, is fighting for fair and accurate
reimbursement for all lower endoscopy procedures, including colonoscopy.
Some good news – we have the support of some important
members of Congress. Representatives Donald Payne Jr. (D-
NJ) and Leonard Lance (R-NJ) have asked their colleagues in
the U.S. House of Representatives to join them in expressing
concern over two key issues:
• Recently proposed Medicare payment cuts to colonoscopy.
• Impact of the cuts on access to colorectal cancer screening, especially in light of recent gains made in access to
this life-saving procedure.
AGA members have been critical in this fight. More than 550
members participated in our poll on colonoscopy pay cuts;
the results of which were presented to CMS by AGA, ACG, and
ASGE during a meeting in July. We also garnered the support
of more than 300 gastroenterologists who reached out to CMS
about how these cuts will affect their patients and practice. We
thank you for your help on this important issue.
We expect the final rule to be released later this month.
Stay tuned to your email and AGA eDigest for continuous updates on this important matter. n