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FSMB Board of Directors approves a motion to include the issue of physicians' continued competence in its FY 2004 action plan. |
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FSMB Special Committee on Maintenance of Licensure convened. Committee is charged, in part, to:
Develop a position statement regarding the responsibility of state medical boards in ensuring physician competence over the course of his/her career.
Develop strategies for state medical boards to use in implementing programs to ensure physicians maintain an appropriate level of competence to practice medicine safely throughout their professional careers. |
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FSMB Board of Directors endorses a recommendation by the Special Committee on MOL that FSMB adopt policy stating that medical boards are responsible to the public for assuring the continued competence of physicians at the time of license renewal. |
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Board of Directors Report 04-1: Report on Special Committee on Maintenance of Licensure sent to House of Delegates for approval. The following policy statement is adopted by the House of Delegates as FSMB policy:
"State medical boards have a responsibility to the public to ensure the ongoing competence of physicians seeking relicensure."
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Special Committee on Maintenance of Licensure Interim Report sent to Board of
Directors for approval. The report outlines the conceptual challenges associated with
implementing maintenance of licensure requirements and discusses issues
considered by the committee to date. |
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Board of Directors Report on Efforts to Address the Continued Competence of Licensed Physicians sent to the House of Delegates for information. The report includes the February 2005 Special Committee on Maintenance of Licensure Interim Report as an attachment.
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FSMB Board of Directors refers Resolution 05-3, Physician and Physician Assistant Reentry to Practice, to the Special Committee on MOL. Specifically, the Board asks the committee to draft guidelines for reentry to practice that may be broadly applied to all health professions regulated by state medical boards. |
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Special Committee on MOL completes work on final report with recommendations regarding MOL. Draft model guidelines for reentry to practice are also included. |
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Special Committee on MOL completes initial draft of final report and submits to Board of Directors. The Board approves distributing the draft report to member boards and other interested stakeholders for comment. |
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Special Committee on MOL submits final report, Special Committee on Maintenance of Licensure Draft Report on Maintenance of Licensure, to FSMB Board of Directors for consideration. The report includes recommendations for MOL and reentry to practice. The Board separates the recommendations regarding maintenance of licensure and reentry to practice into independent documents, with the former to be forwarded immediately to the House of Delegates and the latter to be considered by the Board of Directors later in the year. Based on questions and issues raised by state medical boards and other stakeholders concerning the committee's recommendations, the Board of Directors defers acting on the report of the Special Committee on MOL and, instead, recommends to the House of Delegates that the FSMB pursue further information-gathering activities to answer questions about the implications of implementing MOL policies. |
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The House of Delegates 1) endorses the Board of Directors' recommendation that prior to taking any action on the report of the Special Committee on Maintenance of Licensure, FSMB engage in further evaluation to better understand how implementation of the proposed maintenance of licensure requirements will impact state medical boards and other stakeholder groups and report back to the House of Delegates in 2009 and 2) adopts the following guiding principles as FSMB policy: MOL should support physicians' commitment to lifelong learning and facilitate improvement in physician practice. MOL systems should be administratively feasible and should be developed in collaboration with other stakeholders. The authority for establishing MOL requirements should remain within the purview of state medical boards. MOL should not be overly burdensome for the profession and should not hinder physician mobility. The infrastructure to support physician compliance with MOL requirements must be flexible and offer a choice of options for meeting requirements.
MOL processes should balance transparency with privacy protections.
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A MOL Impact Analysis Taskforce comprising members and staff of 13 state medical boards is convened to assist in analyzing the impact of implementing MOL requirements on state medical boards and other stakeholders. Discussions from the meeting form the basis of a draft impact analysis report to be submitted to the Board of Directors. |
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The draft report, An Analysis of the Impact of Implementation of Maintenance of Licensure Requirements, based on the work of the taskforce convened in October 2008 is disseminated to FSMB's member state medical boards for comment. |
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FSMB Board of Directors receives the draft report, An Analysis of the Impact of Implementation of Maintenance of Licensure Requirements. The Board approves a motion that the Board of Directors submit an interim report to the House of Delegates recommending that additional study on matters related to MOL be conducted in order to assure member boards have as much comprehensive and useful guidance as possible. |
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The House of Delegates adopts the following recommendation from the Board of Directors: The FSMB pursue the following scope of work and report back to the House of Delegates at the FY2010 annual business meeting: Conduct, collect and disseminate research on and give additional consideration to the evidence for the need for initiating an MOL program and the effects of such a program on patient care and physician practice. Conduct further analysis of outstanding issues which surfaced as a result of the MOL impact analysis report and state medical board and other stakeholders feedback to this report; In collaboration with appropriate stakeholders, develop recommendations for how MOL, maintenance of certification, and other continuous improvement activities could be aligned to support state medical boards in achieving a regulatory system that assures the public of a physician's competence while minimizing duplication and burden on the physician community;
In collaboration with appropriate stakeholders, support/fund one or more pilot projects centering on issues relevant to MOL discussions; and
5. Actively engage state medical boards, the public, physicians and other stakeholders in discussions about MOL and solicit their input in the evolution and development of related policy recommendations.
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Members of the MOL Impact Analysis Taskforce reconvene to continue analysis of additional issues regarding the impact of the Special Committee on Maintenance of Licensure's February 2008 draft MOL policy on state medical boards. Specific issues of focus are:
Strategies to mitigate possible unintended consequences that may result from implementing MOL policies.
Options for dealing with licensed physicians who are pursuing careers in non clinical settings (e.g., administration), such as different types of licenses. How states would address physicians who choose not to or are unable to comply with MOL requirements.
A draft report from these discussions is later provided to the FSMB Board of Directors in February 2010.
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FSMB convenes an Advisory Group on Continued Competence of Licensed Physicians to review the FSMB's current and previous work on MOL. The Group is charged to issue an opinion to the FSMB Board of Directors concerning the MOL initiative and more specifically, whether the framework proposed in the 2008 report of the Special Committee on MOL for use by state medical boards in assuring the continued competence of licensed physicians is feasible, reasonable, consistent with the guiding principles adopted by FSMB's House of Delegates in May 2008 and suitable for use by state medical boards in assuring the continued competence of licensed physicians.
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Draft report of the Advisory Group on Continued Competence of Licensed Physicians is distributed to FSMB member board and external stakeholders for comment. |
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FSMB convenes an MOL Implementation Group to 1) create a template proposal available to assist state medical boards in the implementation of an MOL program within and across their jurisdictions and 2) identify potential challenges to implementation of MOL programs and propose possible solutions to overcome these challenges.
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FSMB Board of Directors approves the draft report of the Advisory Group on Continued Competence of Licensed Physicians. The Board also approves a Board report on MOL to be submitted to the House of Delegates recommending that a guiding principle for Maintenance of Licensure be revised and that the MOL framework and recommendations contained in the Advisory Group report be adopted.
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The FSMB House of Delegates formally adopts a Maintenance of Licensure model policy.
Board of Directors Report 10-3: Maintenance of Licensure submitted to House of Delegates. The report includes the 2008 draft final report Special Committee on Maintenance of Licensure, the MOL Impact Analysis Taskforce reports (February 2009 and September 2009), and the final report of the Advisory Group on Continued Competence of Licensed Physicians. The House of Delegates adopts the following recommendations from Board of Directors Report 10-3 (see pages 10-12 of the report): Revision of one of the FSMB Guiding Principles for MOL MOL Framework and Recommendations (see pages 10-12 of report) The FSMB continue pursuing the following scope of work and report back to the House of Delegates at the FY2011 annual business meeting: Continue the work of the MOL Implementation Group to develop a template proposal for state medical boards' use in implementing MOL and to identify potential challenges to implementation of MOL programs and propose possible solutions to overcome these challenges; Conduct, collect and disseminate research on the evidence for the need for initiating an MOL program and the effects of such a program on patient care and physician practice; and In collaboration with appropriate stakeholders, support/fund one or more pilot projects centering on issues relevant to MOL discussions.
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FSMB assembles a CEO Advisory Council comprising CEOs and other executive staff from a number of external organizations within the medical community to serve as an advisory body to the FSMB Board of Directors and
the MOL Implementation Group. |
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Draft report of the MOL Implementation Group is distributed to FSMB member board and external stakeholders for comment.
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FSMB Board of Directors approves the Report of the Maintenance of Licensure Implementation Group: A MOL Proposal Template. The Board also approves Board of Directors Report 11-3: Report of the Maintenance of Licensure Implementation Group to be submitted to the House of Delegates as an informational item.
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FSMB sends a communication to all its member medical and osteopathic boards asking about their interest in participating in MOL pilot projects.
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FSMB House of Delegates receives, as an informational item, Board of Directors Report 11-3: Report of the Maintenance of Licensure Implementation Group. The report includes the final report of the MOL Implementation Group and an overview of FSMB's work on Maintenance of Licensure over the past year, as directed by the House of Delegates in 2010. |
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FSMB appoints an MOL Workgroup on Non-Clinical Physicians to address the issue of how physicians not engaged in active clinical practice may be able to comply with Maintenance of Licensure.
FSMB begins the process of developing and designing pilot projects to test the feasibility of implementing the MOL framework and recommendations approved by the FSMB's House of Delegates in 2010.
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12 state medical and osteopathic boards indicate interest in participating in MOL pilot projects in response to March 2011 communication from FSMB. |
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Pilot study structure and organization finalized; state boards to begin participating in tests. |
