IDEAS home Printed from https://ideas.repec.org/p/apl/wpaper/24-02.html
   My bibliography  Save this paper

Anti-Maintenance of Certification and Elderly Physician Supply

Author

Listed:
  • Shishir Shakya
  • Tulasiram Nepal
  • Edward Timmons

Abstract

The Maintenance of Certification (MOC) program of the American Board of Medical Specialties (ABMS) requires physicians to pass the MOC exam every ten years to maintain board certification. Proponents argue that MOC enhances patient care and physician competencies. Critics perceive it as an expensive, burdensome, and time-consuming recertification process that may lead to the departure of elderly physicians from the workforce. Notably, some states are adopting Anti-MOC laws. Our analysis, employing a generalized difference-in-difference method and event-study frameworks, demonstrates a statistically significant 3.5-6% increase in actively practicing physicians aged 60 and above in states implementing Anti-MOC laws, with no impact on physicians aged below 60. Our findings have implications for healthcare, offering the potential to improve access to quality care and tackle physician shortages in the United States. Key Words: Scope of Practice, anti-Maintenance of certification, physicians

Suggested Citation

  • Shishir Shakya & Tulasiram Nepal & Edward Timmons, 2024. "Anti-Maintenance of Certification and Elderly Physician Supply," Working Papers 24-02, Department of Economics, Appalachian State University.
    • Handle: RePEc:apl:wpaper:24-02
    as

    Download full text from publisher

    File URL: http://econ.appstate.edu/RePEc/pdf/wp2402.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    2. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bas Scheer & Wiljan van den Berge & Maarten Goos & Alan Manning & Anna Salomons, 2022. "Alternative Work Arrangements and Worker Outcomes: Evidence from Payrolling," CPB Discussion Paper 435, CPB Netherlands Bureau for Economic Policy Analysis.
    2. Wright, Austin L. & Sonin, Konstantin & Driscoll, Jesse & Wilson, Jarnickae, 2020. "Poverty and economic dislocation reduce compliance with COVID-19 shelter-in-place protocols," Journal of Economic Behavior & Organization, Elsevier, vol. 180(C), pages 544-554.
    3. Li, Sen & Zhang, Yi, 2025. "Environmental risk and stock price crash risk: Evidence from energy substitution policy adoption," International Review of Economics & Finance, Elsevier, vol. 99(C).
    4. Ichev, Riste & Valentinčič, Aljoša, 2025. "The effect of impact investing on performance of private firms," Research in International Business and Finance, Elsevier, vol. 73(PA).
    5. Brzezinski, Adam & Deiana, Guido & Kecht, Valentin & Van Dijcke, David, 2020. "The COVID-19 Pandemic: Government vs. Community Action Across the United States," INET Oxford Working Papers 2020-06, Institute for New Economic Thinking at the Oxford Martin School, University of Oxford.
    6. Ying Liu & Hongyun Huang & William Mbanyele & Fengrong Wang & Huiling Liu, 2024. "Does the issuance of green bonds nudge environmental responsibility engagements? Evidence from the Chinese green bond market," Financial Innovation, Springer;Southwestern University of Finance and Economics, vol. 10(1), pages 1-42, December.
    7. Krekel, Christian & Kavetsos, Georgios & Ziebarth, Nicolas R., 2025. "Passing on the flame: Do mega sports events promote health behaviours?," Social Science & Medicine, Elsevier, vol. 377(C).
    8. Hill, Elaine L. & Slusky, David J.G. & Ginther, Donna K., 2019. "Reproductive health care in Catholic-owned hospitals," Journal of Health Economics, Elsevier, vol. 65(C), pages 48-62.
    9. Banasaz, Mohammadmahdi & Bose, Niloy & Sedaghatkish, Nazanin, 2025. "Identification of loan effects on personal finance: A case for small U.S. entrepreneurs," Journal of Economic Behavior & Organization, Elsevier, vol. 234(C).
    10. Shumway, Clayson & Wilson, Riley, 2022. "Workplace disruptions, judge caseloads, and judge decisions: Evidence from SSA judicial corps retirements," Journal of Public Economics, Elsevier, vol. 205(C).
    11. Ardiyono, Sulistiyo K., 2022. "Covid-19 pandemic, firms’ responses, and unemployment in the ASEAN-5," Economic Analysis and Policy, Elsevier, vol. 76(C), pages 337-372.
    12. Mac Clay, Pablo & Börner, Jan & Sellare, Jorge, 2023. "Institutional and macroeconomic stability mediate the effect of auctions on renewable energy capacity," Energy Policy, Elsevier, vol. 180(C).
    13. Katrin Huber & Geske Rolvering, 2023. "Public child care and mothers’ career trajectories," Working Papers 228, Bavarian Graduate Program in Economics (BGPE).
    14. Anikó Bíró & Márta Bisztray & João G. da Fonseca & Tímea Laura Molnár, 2023. "Accident-induced absence from work and wage ladders," IFS Working Papers W23/30, Institute for Fiscal Studies.
    15. Shoki Kusaka & Tetsuji Okazaki & Ken Onishi & Naoki Wakamori, 2022. "The Decline of Labor Share and New Technology Diffusion: Implications forMarkups andMonopsony Power," CIRJE F-Series CIRJE-F-1208, CIRJE, Faculty of Economics, University of Tokyo.
    16. Shun-Yang Lee & Julian Runge & Daniel Yoo & Yakov Bart & Anett Gyurak & J. W. Schneider, 2023. "COVID-19 Demand Shocks Revisited: Did Advertising Technology Help Mitigate Adverse Consequences for Small and Midsize Businesses?," Papers 2307.09035, arXiv.org, revised Jan 2024.
    17. Krekel, Christian & Rode, Johannes & Roth, Alexander, 2023. "Do wind turbines have adverse health impacts," LSE Research Online Documents on Economics 121311, London School of Economics and Political Science, LSE Library.
    18. Frank M. Fossen & Mobarak Hossain & Sankar Mukhopadhyay & Peter Toth, 2025. "The cost of health insurance and entry into entrepreneurship," Small Business Economics, Springer, vol. 64(2), pages 383-405, February.
    19. d'Este, Rocco & Yuchtman, Noam, 2023. "Correcting Racial Injustice: Forensic DNA Technology and the Exoneration of the Wrongfully Convicted," IZA Discussion Papers 16076, Institute of Labor Economics (IZA).
    20. Fabre, Brice & Sangnier, Marc, 2025. "Where and why do politicians send pork? Evidence from central government transfers to French municipalities," Journal of Public Economics, Elsevier, vol. 241(C).

    More about this item

    Keywords

    ;
    ;
    ;

    JEL classification:

    • J01 - Labor and Demographic Economics - - General - - - Labor Economics: General
    • J08 - Labor and Demographic Economics - - General - - - Labor Economics Policies
    • J21 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Labor Force and Employment, Size, and Structure
    • J44 - Labor and Demographic Economics - - Particular Labor Markets - - - Professional Labor Markets and Occupations
    • J7 - Labor and Demographic Economics - - Labor Discrimination
    • K30 - Law and Economics - - Other Substantive Areas of Law - - - General

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:apl:wpaper:24-02. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: O. Ashton Morgan (email available below). General contact details of provider: https://edirc.repec.org/data/deappus.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.