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#MedTwitter Board-certified physicians…As a group, would you be willing to stop enabling the ABIM extortion of physicians by denying them the annual certification fees they charge you for their “MOC”? #CardioTwitter Matthew Sample Westby Fisher, MD

General cardiologists in urban areas shouldn’t be performing cardiac catheterization anymore. There are more than enough interventional cardiologists (and more than enough - too many, even - being trained) to handle the clinical burden. We all need to stay in our sweet spot.

What the heck is going on over there? I used to think the US had the most issues with mid level scope creep, but these last few weeks have been eye opening.

For those of you waiting on your patients with a mean gradient of damn near 60mmHg to develop symptoms before a TAVR referral… you know who you are.

And yet we hear no definitive plans from our societies for how to fix this. What are you doing with our dues SCAI American College of Cardiology? We deserve answers and support from you. We’re looking to you to come up with a way to combat this extortion from the American Board of Internal Medicine (ABIM). Are you afraid of them?

Patients should be required to shadow a physician, nurse, and/or CNA before receiving non-emergent medical care. I know many of you have never had any medical experience and I guarantee that lack of experience makes you less understanding of what it takes to care for you.

Agree. Eventually, we’ll just need to vote with our feet and abandon the organizations that have left us out to dry. If SCAI (I’ve given up hope for the ever-conflicted American College of Cardiology) is indeed working on something to help, now would be the time to fill us in. Yet, more silence.

Prior to Flexner, doctors were more likely than not to be quacks/charlatans. Flexner exposed corruption in proprietary medical schools and deficiencies across the board. Following his report, the US model became the standard bearer. Why do we want to go back? Why lower standards

I learned something this week. All those saying it’s the American College of Cardiology, not the American College of Cardiologists are correct. I was wrong and I admit that. To that end, you’re correct as well. Cardiologists do not have a professional society.

Andy O’Plasty, MD yep. me too. this seems to have evolved over time with the upside of “expanding teamwork,” the downside being the continued erosion of subspecialty physician uniqueness. We can be a bitchy, spoiled lot, for sure. But those stripes have been earned and must be defended.

Andy O’Plasty, MD Need to create a new organization for the docs only -mission and fight for things which actually matter: which American College of Cardiology does not do- return of autonomy, abolishing non-compete, inflation adjusted increase in reimbursement, protection from hostile employers/hospital/insurance.