As part of its efforts to promote a “culture of improvement,” the Federation of State Medical Boards House of Delegates approved a report containing the framework for individual state “maintenance of licensure” programs that could become a condition for physician license renewal.
Group outlines framework for licensure programs
The report recommends that state maintenance of licensure programs call for physicians to provide evidence that they have participated in professional development and continuing education in medical knowledge, patient care, communication, professionalism and other topics. According to the report's recommendations, programs should include “reflective self-evaluation” and practice assessment with subsequent completion of appropriate education and improvement activities, assessment of knowledge and skills and demonstration of “accountability for performance in practice.” It was noted that license maintenance should not create barriers to physician practice and, while maintenance of licensure requirements would be separate from medical specialty maintenance of certification requirements, state medical boards “at their discretion” may determine that participation in certification-maintenance programs “represents substantial compliance” with maintenance of licensure requirements. A work group is expected to present a report at the Federation of State Medical Boards' next annual meeting, April 28-30, 2011, in Seattle, which will include recommendations for implementing maintenance of licensure programs and will also identify challenges to implementation. The federation's House of Delegates includes one representative from the organization's 70 state and federal territory medical and osteopathic boards. It first approved the concept that ongoing demonstration of competence should be a condition for license renewal in 2004.
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