Showing posts with label ACP. Show all posts
Showing posts with label ACP. Show all posts

Wednesday, April 29, 2015

Why the ACP needs to comment on the ABIM scandal


It has been now over four months since Dr. Wes Fisher’s post on the ABIM luxury townhouse and since Dr. Charles Cutler’s debate with Richard Baron: events which began the exposure of the details of the ABIM financial scandal. 

It has now been roughly two and six weeks respectively since Kurt Eichenwald’s Newsweek articles on the ABIM and its financial scandal.

While they have commented on the maintenance of certification process at the ABIM, the American College of  Physicians - which regards itself as the organization for internal medicine - has yet to issue a statement regarding the ABIM financial scandal or its details. On the ACP advocate blog  (authored by Bob Doherty, ACP’s head lobbyist) over this period of time, one can read about not just the recent SGR saga, but also handguns, and on his twitter feed he shared a story about the POTUS and the new Surgeon General addressing the “health effects of climate change.”  However, nowhere is there any coverage of this huge story, a scandal that directly affects internists.

So:  Handguns and Global Warming from the ACP, but not a word on these very serious allegations of fiscal impropriety at the certifying board.

How can this be? 

Some suggest that the ACP has a conflict of interest in that they profit from test prep materials and courses. 

Some also suggest that there is a revolving door, of sorts, between many of these organizations.  A case in point:  the former longtime CEO of ABIM, Christine Cassel, has listed on her bio at the National Quality Forum that she is a Master of ACP and former President of ACP.  So far as I know, no one at ACP has publicly questioned her leadership while at the ABIM.  

For the moment, however, put aside these thoughts.  Moral courage (to overstate the ethical requirements in this case, certainly) is not doing the right thing when it easy and profitable.  Quite the contrary, courage is doing what is right when it is difficult, or otherwise against one’s personal interests.

The ACP should do what is right on behalf of its current and potential members and publicly express concern about the allegations of financial mismanagement at the ABIM. At some point, the failure to condemn is to condone.  That point, if not yet behind us, will be past soon. 


In the end, can a voluntary organization afford not to speak on behalf of its dues-paying members when the cause is right?



References:

Newsweek articles:  

Monday, February 9, 2015

Five Questions for Richard Baron

First some background:

There is controversy of late regarding the ABIM (American Board of Internal Medicine) and its financial dealings. Allegations range from poor fiscal stewardship to worse. This includes the purchase (and now sale at a loss) of a 2+ million dollar condo in Philadelphia, etc.

Dr. Westby Fisher’s blog has many of the details and links:  http://drwes.blogspot.com

Original piece on the condo: http://drwes.blogspot.com/2014/12/the-abim-foundation-choosing-wisely-and.html

Description of a Philadelphia medicine town hall meeting regarding ABIM and MOC, but also the condo, salaries, poor stewardship of funds at the ABIM, etc. featuring a debate between Charles Cutler (former chair ACP board of regents) and Richard Baron (CEO of ABIM): http://jedismedicine.blogspot.com/2014/12/abim-has-lost-its-way.html

Not to be missed is this excellent video of that debate:

http://www.pamedsoc.org/MainMenuCategories/Education/MOC/Video-MOC-Debate.html

All of which leads to my five questions for Richard Baron, CEO of ABIM:

1. Do you dispute Dr. Cutler’s facts from your recent debate with him in Philadelphia?

2. Were you the Treasurer of the ABIM at the time of the condo purchase?

3. What is the job description of the non-M.D. employee (assistant to the president) at ABIM who made $700,000 in one year?

4. As a follow-up to #3, do you stand by your reply to Dr. Cutler that “salaries get set as salaries get set?”

5. Depending on your replies to questions #1-4, how does ABIM have credibility when it comes to hectoring physicians on the cost-effective use of limited resources?