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Anti-Maintenance of Certification and Elderly Physician Supply

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  • 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 24-06, Department of Economics, Appalachian State University.
    • Handle: RePEc:apl:wpaper:24-06
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    File URL: http://econ.appstate.edu/RePEc/pdf/wp2406.pdf
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    References listed on IDEAS

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    1. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
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    Keywords

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    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

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