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The Paradocs Podcast

The Paradocs is a fun and lively discussion with a couple of docs on the practice of medicine. Occasionally serious, usually lighthearted, and accidentally informative. A show for physicians to learn more about what is going on and a great place for them to direct their friends and family to better understand the challenges they face.

Jul 23, 2020


Maintenance of Certification (or MOC) is a requirement by all the specialty boards in the United States that is above and beyond what the original certification is to become board certified. The old model used to be medical school, residency +/- fellowship, and then take your board certification exam to become a certified consultant for life. However, this all changed in the 90's as specialty boards put time limits on the original certification and then began to require MOC.

Dr. Torie Sepah is a board certified psychiatrist in Pasadena, CA and feels that the MOC process has become nothing more than a new shakedown. The previously small and modestly funded specialty boards have greatly expanded their revenue stream by forcing doctors to recertify on a continual basis through tests, modules, CMEs, and projects. This adds many hours of administrative burden for doctors to comply not to mention the ~$5000-10,000 price tag every ten years. Dr. Sepah thinks this is an outrageous requirement and calls for reform.

Later in the conversation we touch on COVID and what its effects are on those suffering from depression and anxiety. Dr. Sepah describes a troubling situation where even more patients are at risk for suicide without any increase in hospital beds. She likens the current concern for enough hospital resources today for COVID to her daily struggle to find a bed to hold her patients whom she is worried may kill themselves.

Torie Sepah, MD is psychiatrist in Southern California and writer at KevinMD.


show notes

Dr. Sepah's Website

@toriesepahmd: Twitter handle

How MOC is Contributing to the Demise of Physicians: The article we referenced during the interview.

Episode 030: Physician suicide discussion with Dr. Pam Wible.

Episode 038: The causes of physician burnout, depression, and suicide with Dr. Corey Fawcett.

Episode 015: Physician burnout - Why & How to save docs with Dr. Mari Wohlever

Samaritans Health Sharing Ministry: This is the ministry we use. Feel free to mention my name if you sign up - not sure if that helps you or not.

Top 20 Physicians Podcasts

Made Simply Web Site Creations: This is the great, affordable website service that built my wife's podcast site. I cannot recommend this company more to someone looking for creating a website.

Always Andy's Mom: Home of my wife, Marcy's, podcast for parents grieving or those looking to help them.

YouTube for Paradocs: Here you can watch the video of my late son singing his solo on the Paradocs YouTube page.

Patreon - Become a show supporter today and visit my Patreon page for extra bonus material. Every dollar raised goes towards the production and promotion of the show.

Listen to The Paradocs on RadioPublic