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© 2015 Federation of State Medical Boards
J. Daniel Gifford, M.D., FACPFSMB Chair
IAMRA Revalidation Symposium
Montreal, Canada
October 29, 2015
2 © 2015 Federation of State Medical Boards
Multiple Licensing Jurisdictions with Varied Requirements
FL-M
GAAL
MS
SC
NC
TN-M TN-O
KY
INIL
LA
AR
TX
OH
MI-MWI
VA
PA-M
PA-O
NY*
VT-M
ME-M
RI
MA
NJ
DEMD
OK-M
KS MO
IA
MN
ND
SD
NE
WY
CO
NM-M
HI
AK
AZ-M
UT-M
UT-O
NV-M
OR
ID
MT
WA-M
WA-O
NH
US Virgin Islands
CA-O
As of March 2014
OK-O
CA-M
VT-O
AZ-O
FL-O
ME-O
MI-O
NV-O
NM-O
Guam
N. Mariana Islands
Puerto Rico
Practice-relevant
CME Requirement:
AR
CT
KS
NV-M
MA
NC
NH
NM-M
OR
PR
SC
WV-M
WV-O
VA
VT-M
WV-M
WV-O
CT
3 © 2015 Federation of State Medical Boards
Resource and Administrative Constraints
• Financial
– Implementation costs (communication, IT infrastructure, tracking, verification)
– Budget constraints
• Turnover in membership & staff
– Challenges related to maintaining continuity in implementation efforts
• Legislative concerns
– Revisions to statutes required?
4 © 2015 Federation of State Medical Boards
Competing Priorities
• Increasing physician mobility
– Telemedicine
– Interstate Medical Licensure Compact
• Opioid Prescribing
• Medical Marijuana
• End of Life Care
5 © 2015 Federation of State Medical Boards
Opposition from Sectors of the Profession
• Large physician population (916,000+)
– Ability to mobilize quickly around issues, whether based in myth or fact
– Significant communication resources spent correcting misinformation
http://rachelezra.com
6 © 2015 Federation of State Medical Boards
Changing System, New Requirements
• Some physicians feel overburdened by other requirements already in place:
– Affordable Care Act (ACA)
– Centers for Medicare and Medicaid (CMS)
– Hospital Privileging and Credentialing
– Changing Certification Requirements
– Meaningful Use for EHRs
– Patient Safety Initiatives
– Quality Reporting Requirements
© 2015 Federation of State Medical Boards© 2012 Federation of State Medical Boards
Mark Staz, MADirector, Continuing
Professional [email protected]+1 613 986-6275
Frances Cain, MPAAssistant Vice President,
Assessment [email protected]
+1 817 868-4022
THANK YOU!
http://www.fsmb.org/mol.html
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