Westby Fisher, MD Profile
Westby Fisher, MD

@doctorwes

19,883
Followers
920
Following
1,024
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20,546
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Cardiac Electrophysiologist, Endeavor Health HealthSystem, Clinical Assoc Prof of Medicine, U of Chicago. Tweets are never medical advice.

Evanston, IL
Joined February 2009
Don't wanna be here? Send us removal request.
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@doctorwes
Westby Fisher, MD
3 years
I’d like to give a shout-out to our organization that has been fighting the stranglehold of MOC on US physicians, Practicing Physicians of America. Please consider a donation of any amount to support our ongoing operations this Giving Tuesday
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@doctorwes
Westby Fisher, MD
3 years
I couldn't resist Bernie as an anesthesiologist
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@doctorwes
Westby Fisher, MD
1 year
Emptied my car today. Keep wondering when we’ll stop adding to landfills given the paucity of data that these do anything now.
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@doctorwes
Westby Fisher, MD
20 days
So now that @ABIMcert has notified all the US hospitals that physicians have not paid their hyperinflated MOC fees and “decertified” them before their certs expired, we should step back and ask some serious questions regarding this organization. 🧵
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Westby Fisher, MD
10 months
40 years. Really? Time flies when you’re having fun. 👇
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Westby Fisher, MD
4 months
According to the ABIM/ABMS, my ability to serve and bill as a cardiologist ends at midnight tonight after 40+ yrs of practice thanks to their tie of MOC to my original board certifications. 1/
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Westby Fisher, MD
1 month
I just deactivated by "voluntary" expired 10-yr cardiovascular board certificate to avoid ongoing fees of $220 per year (with $40 late fees) annually since 2022 from @ABIMCert . That's the tweet.
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Westby Fisher, MD
5 years
Boarded to Death: Physicians Sue the ABIM
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Westby Fisher, MD
4 years
Physicians, CMS is considering removing supervisory requirement for NPs and PAs and offering pay parity between physicians, NPs, and PAs. Time to speak up. Here’s how: @PPA_USA
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@doctorwes
Westby Fisher, MD
3 years
Time for a total boycott on our ABMS medical boards. I'll be damned if my MOC fees fund executive travel to Hawaii. Thanks to @medpagetoday for these two excellent investigative reports and
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Westby Fisher, MD
3 months
Two certificates. I worked hard, completed necessary requirements, and paid for both. One institution recognizes their cert for life, the other, after 35 yrs they now won’t stand behind because they want more money. I call bullsh*t. @FTC @linakhanFTC @SenatorDurbin @SenDuckworth
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Westby Fisher, MD
3 years
I was never a believer in the letters after “MD” on doctors’ signature line. What do they mean, really?Now, after seeing the ACC giving the “fellow” designation to non-MDs too, my skepticism is now officially justified. *sigh* Guess it’s #JustaClub @ACCinTouch
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@doctorwes
Westby Fisher, MD
8 years
Amazing news on #MOC with far-reaching implications for all practicing physicians. Indictments seem inevitable.
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Westby Fisher, MD
8 months
The paper that proposed the illegal tie that forces all US ABMS board certified physicians to purchase MOC for the rest of their careers - or else. @GlassockJ et al.
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Westby Fisher, MD
8 months
It’s sad to see @ABIMcert implode. It’s mission once was a noble one: make sure residents knew their stuff. Now, they’ve morphed into a mafia-like org threatening to take down any physician who disagrees with them/their politics. Their model is unsustainable and will fail.
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@doctorwes
Westby Fisher, MD
4 years
What? Flyovers? As I enjoy my upcoming pay cut, can we please cut the #healthcareheros crap and focus on the millions upon millions of unemployed hurt by this situation? #covid19
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Westby Fisher, MD
9 months
10 yrs ago we it dawned on me we were paying ABIM’s CEO’s spousal travel fees, too. They were having a field day with our MOC cash.
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Westby Fisher, MD
13 days
Sad to see you go cardiology. But I still paid for 10 yrs of EP cert and that’s gone too, only because I haven’t ceded to @ABIMcert ‘s new demands for more payments. This will not end well for one of us, @ABIMcert , and I’m determined it won’t be me. @PPA_USA @HeartOTXHeartMD
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Westby Fisher, MD
7 months
The only people crying are Aetna, BCBS, Cigna, et al. He and Christine Cassel have been these orgs’ pals for the past 20 years. These two directly harmed more physicians than I could count 👇
@DrMarthaGulati
Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦
7 months
I wonder if they expected tears from any of us? At least we paid for his retirement but he is still around until 09/2024 @doctorwes
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Westby Fisher, MD
8 months
MOC lacks evidence of doing anything helpful for patients.
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Westby Fisher, MD
19 days
Every U.S. physician that is ABMS board certified should read this thread. This is madness and we’re being manipulated/strong-armed by @ABIMcert and our @acgme accredited hospitals while they laugh all the way to the bank. 👇
@AaronGoodman33
Aaron Goodman - “Papa Heme”
19 days
ABIM extortion-thread I started vacation with kids with an unfortunate email threatening my ability to practice medicine. Hospital bylaws require me to be board certified. But I am certified! it hasn't been 10 years since my heme board. I should be good (at least I thought)!
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Westby Fisher, MD
6 years
BREAKING: (Mind blown) Just had an anonymous physician donor step up and say he/she/they would match dollar-for-dollar every donation made until we reach our goal! Every donation now goes TWICE AS FAR!
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@doctorwes
Westby Fisher, MD
3 years
The natural hx of atrial fibrillation 👇
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@doctorwes
Westby Fisher, MD
4 years
MOC is NOT voluntary. There is no causal evidence between MOC and better patient outcomes. MOC a separate product from initial board certification. MOC causes harm. Yet docs are to blame because we've been too scared and intimidated to admit this truth: MOC is a scam.
@drjohnm
John Mandrola, MD
4 years
This came in the mail. As if a diploma makes me feel better about coercion. I passed my boards for the third time but @ABIMcert withheld my certification until I paid their MOC fees. Docs, stick together. Oppose rent-seekers. Support @doctorwes
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Westby Fisher, MD
3 months
Cigna denied primary AF ablation on a male 51 yo CHA2DS2-Vasc 0 patient of mine with persistent AF, claiming he had to fail antiarrhythmic meds before ablation based on “new guidelines.” Cigna rep was not EP. Asked ‘em “which antiarrhythmic?” since they must know. Then: 🦗 🦗
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Westby Fisher, MD
4 months
@InfoNbpas my application is completed, including sending in 120 hours of CME before my “cardiology certificate” expires. Oh, and I donated as well for next year’s efforts to end the ABMS monopoly’s stranglehold on our profession. Hope others will too!
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Westby Fisher, MD
9 months
O.M.G. 😂 👇 This 🧵!
@AriObanMD
Ari Elman, MD
9 months
Getting married this weekend and want to get a head start on Q3 LKA questions? Hear from Dr. Gunner, who completed her LKA questions between her wedding ceremony and reception! @ABIMcert
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Westby Fisher, MD
9 months
10k and going strong… well done!
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Westby Fisher, MD
29 days
Reality: Growth in 10-yr @ABIMcert board certification fees. For what? It clearly is not about patient care or safety. This trend cannot continue if you want to have working US physicians at your @acgme hospitals @linakhanFTC @FTC @SenatorDurbin @SenDuckworth
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@doctorwes
Westby Fisher, MD
8 months
Tomorrow I chat with @chadinabhan on my personal anti-MOC journey. I apologize in advance for the length of the podcast, but it’s a complicated story. I’d encourage folks to review my unpublished rebuttal to @RichardBaron17 from 2016 as it sets the stage
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@doctorwes
Westby Fisher, MD
9 months
ABIM recently scrambled to create a conflict of interest statement that they sent to @chadinabhan in time for his podcast with @RichardBaron17 . Read it carefully because it means nothing when the @ABIMCert 's corporate bylaws say the following:
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@doctorwes
Westby Fisher, MD
8 months
Regarding the podcast with @chadinabhan this AM, I must thank the support of so many people. First and foremost, my family, who has felt the stress of investigative reporting and watched the obsession of their father who was committed to revealing the truth regarding @ABIMCert /1
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Westby Fisher, MD
9 months
When we tried to end MOC in Ohio through a bill before the Health Committee there, I testified and entered this tax packet into evidence for my testimony. The bill was pulled and never saw the light of day.
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@doctorwes
Westby Fisher, MD
5 years
ABIM Class Action Lawsuit Against MOC Amended to Include Racketeering and Unjust Enrichment
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Westby Fisher, MD
2 years
@NEJM @kboreilly @ABIMcert has had just TWO self-selected Presidents and CEO’s in over 20 years and yet THEY are our new “Ministers of Truth” for US physicians? Your emperors have no clothes @NEJM
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@doctorwes
Westby Fisher, MD
8 months
I’d like to dedicate this podcast to all physicians hurt by @ABIMcert ‘s MOC program, both known and unknown. The psychological harms with this program are significant, and I have no idea how many physicians might no longer be here because of it.
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@doctorwes
Westby Fisher, MD
8 months
Over 17k now 🫡 👇
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Westby Fisher, MD
4 months
Monopoly? What monopoly? Behold mere mortal work-a-day physicians, I give you Lord Faulkner, President of the American Board of Psychiatry and Neurology:
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Westby Fisher, MD
9 months
ABIM "Commitments" hanging on their wall: "Science Based Medicine and Intellectual Rigor" "Professionalism and Excellence in the Practice of Medicine" "Maintaining Autonomy to Preserve These Values" Total B.S. They're just to preserve the money flow.
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@doctorwes
Westby Fisher, MD
4 years
One thing I’m learning during this time is just how ineffectual our US health care bureaucracy has been when the sh*t hits the fan. How many former clinical docs are amongst their leadership and too afraid to step up? Step up folks. Step up.
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Westby Fisher, MD
9 months
It’s amazing that @ABIMcert has no problem with me making life and death decisions every day, but they feel I’m incapable of selecting my own CME. The conflicted physician sell-outs at @ABMSCert member boards need to stop harassing us with MOC.
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@doctorwes
Westby Fisher, MD
9 months
Regarding @RichardBaron17 's claim @ABIMCert does not sell physician data, a few points. 1) Note over $1.2M paid to CECity in FY 2010 on the attached Form990. 2) Note that Christine Cassel, MD was on board of Premier, Inc and well, then there's this:…
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Westby Fisher, MD
3 months
When I recertified in Cardiac EP cert 9 years ago, I prepaid for a 10yr certification from ABIM. It now appears I must now pay @ABIMCert $760 to "maintain" that ABMS certification. @RichardBaron17 @ABIMcert @ABMSCert expect to hear from my lawyers.
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Westby Fisher, MD
4 months
There's not a clinical physician in US medicine today who thinks MOC is anything but a money grab. Maybe, just maybe, the emperors in the ACGME will exposed for this scam in 2024. Happy Holidays ABPN:
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Westby Fisher, MD
9 months
@AaronGoodman33 @ABIMcert is entering their own “forever war” with US physicians by maintaining MOC. The conflicts of interest, profiteering, and fraud have gone on too long to ignore. We won’t stop. Thanks, @AaronGoodman33 and @chadinabhan
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Westby Fisher, MD
8 months
“As a direct result of ABIM recently tying certification status to post-exam yearly MOC participation, SCAI members have had their privileges threatened and even revoked rather unexpectedly. This situation unacceptably exacerbates the interventional cardiology workforce shortage…
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@doctorwes
Westby Fisher, MD
9 months
Coming up on 5k!! Keep it going! Petition · Eliminate ABIMs MOC requirement ·
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@doctorwes
Westby Fisher, MD
9 months
He was the father of MOC. A greedy, corrupt pediatrician who was so narcissistic that he let this fluff piece be published. With MOC, ABMS wants their car collection too. A Conversation With James A. Stockman III, MD | Pediatric Annals
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Westby Fisher, MD
8 months
Still growing and now closing in on 19k 👇
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@doctorwes
Westby Fisher, MD
4 years
According to the American Board of Pediatrics, it seems physicians are suddenly fully capable of learning on their own and caring for patient's safely without the need for MOC or MOCA-Peds:
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Westby Fisher, MD
6 years
Please read the story behind this GoFundMe campaign that I am organizing. It's time for all working physicians to take the stick and end Maintenance of Certification nationwide for all subspecialties.
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@doctorwes
Westby Fisher, MD
8 months
Here's the antitrust underbelly of #MOC , courtesy of @megedison . Fail to pay for MOC (but do all the studying) and you are not only disaffiliated from BCBS, but they then engage in patient care and send a letter directly to your pts saying you are out. @ABIMcert @ABMSCert
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@doctorwes
Westby Fisher, MD
1 year
Thank you @MartyMakary 👇
@RobertKennedyJr
Robert F. Kennedy Jr
1 year
Medical science experts from Harvard, Johns Hopkins, and Stanford testifying before Congress: “The greatest perpetrator of misinformation during the pandemic has been the United States government.”
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Westby Fisher, MD
3 months
Thank you @PaulTeirstein @CMichaelGibson @bhweiner and @InfoNbpas Proud to be an NBPAS Diplomate! Looking forward to working together to end the @ABMSCert @ABIMcert MOC monopoly in 2024!
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Westby Fisher, MD
9 months
MOC gets it wrong again and again and again. (see image) We didn't need it before 1990, we don't need it now. Give us back our hard-earned certifications and self-directed ACCME-accredited CME for licensure! Sign the Petition!
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Westby Fisher, MD
5 years
MOC is HUGE problem for our profession because it is a civil war in medicine between bureaucratic corporate docs and working docs. #askasn
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@doctorwes
Westby Fisher, MD
3 months
MOC going mainstream. From NYT letters to the editor Sun 4 Feb 2024:
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Westby Fisher, MD
9 months
A letter from Paul Teirstein arrived in my inbox this AM. It is much too polite, IMO, but important. The doctor “data wars” are upon us and the AMA and ABMS will stop at nothing to maintain their data monopoly.
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@doctorwes
Westby Fisher, MD
9 months
I’d like to give a personal shoutout to @AaronGoodman33 and @chadinabhan for arranging today’s zoom conference with @RichardBaron17 . Be nice. Play fair. But be sure he scans his ID, empties his pockets, and videos the room before answering any questions.
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Westby Fisher, MD
6 months
ACP joins the fray, sending a “we’re watching” letter to US internists as they try to decide what they should do about ABIM and the harms time-limited certification has had on US internists.
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@doctorwes
Westby Fisher, MD
4 months
Fortunately, my cardiac electrophysiology certificate expires next year, so I can still bill as a cardiac EP. But I don’t want to “give up” my cardiology certification, so NBPAS, here I come! 2/
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@doctorwes
Westby Fisher, MD
9 months
Yes, Virginia, bring back initial certification with self-selected CME. #endMOC Getting my popcorn 🍿 👇
@chadinabhan
chadi nabhan MD, MBA, FACP
9 months
This Tue AM, I host the epic discussion btw @AaronGoodman33 and @RichardBaron17 on the MOC of the ABIM exclusively on #HealthcareUnfiltered podcast. This is a clip from the pod that U will NOT want to miss. It all started with a petition, now with >11k signatures. watch it all
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@doctorwes
Westby Fisher, MD
1 month
Cannot emphasize the need for all U.S. physicians to have an alternative to the ABMS/ACGME monopoly on continuing professional development market this way. Please take the time to help create an alternative to MOC. It will pay off in the future 👇
@DrDamluji
Abdulla A. Damluji, MD, PhD
1 month
Ok this was approved.... Everyone: if you care about ending the MOC scam and all the other nonsense imposed on us by the monopoly, please sign up to @InfoNbpas ... This is alternate solution until @ACCinTouch and @SCAI find a durable way to resolve moving forward! @doctorwes
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Westby Fisher, MD
4 years
So nice to see random signs in your neighborhood:
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@doctorwes
Westby Fisher, MD
8 months
ABIM 2015 Salaries compared to internists in 2015
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@doctorwes
Westby Fisher, MD
6 years
Thanks to the physicians that have already completed the 2018 MOC survey!! On our way to reaching >10,000 physician participants. Have you helped? Takes 5-6 min to complete. Then share with colleagues!
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@doctorwes
Westby Fisher, MD
5 years
To extinguish burnout, bring back physician autonomy via @kevinmd
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@doctorwes
Westby Fisher, MD
4 years
It is remarkable that doctors can make life and death decisions everyday but are deemed incapable of choosing their own CME. This loss of autonomy/respect leads to burnout - especially when unethical behavior of boards occurs as well.
@drjohnm
John Mandrola, MD
4 years
@doctorwes I spent a couple of days with @ftrae and @Dr_Santangeli and learned tons. I review articles every week and do a podcast. None of this counts. You have to PAY the fee and do their CME. I am mad so I am going to stop Tweeting.
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Westby Fisher, MD
6 years
THIS 👇
@RogueRad
Saurabh Jha
6 years
When you hold doctors responsible for outcomes, you're holding doctors responsible for patient behavior, which is medical over reach, IMO
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Westby Fisher, MD
6 years
The South Carolina House and Senate just unanimously passed Bill 4116 anti-MOC legislation. On to governor for signature:
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Westby Fisher, MD
7 months
Breaking: @RichardBaron17 to retire from @ABIMcert at the end of 2023.
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Westby Fisher, MD
8 months
The CME all physicians need to know: Any physician who writes questions for @ABIMcert is complicit with failing to disclose conflicts of interest and restricting patients’ access to their physicians through collusion with insurers, pharma, and GPOs.
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@doctorwes
Westby Fisher, MD
1 year
No wonder physicians don’t have a clue what to do with MOC: the goalposts are constantly moving. One constant though: more and more money goes to these gaslighting grifters 👇
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@doctorwes
Westby Fisher, MD
3 years
Happy #MemorialDay to all those I had the pleasure to serve with!
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@doctorwes
Westby Fisher, MD
5 years
North Dakota signs anti-MOC legislation into law
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Westby Fisher, MD
2 years
Since the cost of maintaining US physician board certification is going up 25% this year <per specialty certification>, are US physicians even aware of @ABIMcert and @ABIMFoundation 's conflicts of interest?
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@doctorwes
Westby Fisher, MD
4 years
Too late....
@thehill
The Hill
4 years
WHO recommends limits on alcohol consumption during COVID-19 lockdowns
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Westby Fisher, MD
5 years
Please stop this propaganda @ABIMcert , it reflects poorly on you. Internists make a difference without you holding them hostage 👇
@ABIMcert
American Board of Internal Medicine (ABIM)
5 years
Board Certified Internists make a difference: #DiabetesAwarenessMonth
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Westby Fisher, MD
9 months
Agree. MOC has been discriminatory and corrupt since it’s inception. 👇
@cmstanton75
not the real Chris Stanton
9 months
Totally agree. One time certification then CME only.
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Westby Fisher, MD
9 months
As we listen to ⁦ @RichardBaron17 ⁩ defend MOC today, realize who he is speaking for. US physicians can barely conceive of the money and conflicts of interest involved. ⁦ @AaronGoodman33 ⁩ and ⁦ @chadinabhan ⁩ are not out there alone.
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Westby Fisher, MD
17 days
Could not agree more 👇 I am grandfathered for Int Med, but not Cardiology or Cardiac EP. The whole MOC thing was, and always will be, just about the money. $2.3 million condos, Cayman Island spending, spousal travel fees, and (esp) politics are expensive. We paid for all of it.
@orenbernstein
Oren Bernstein, MD
17 days
@doctorwes It’s those of us who were on the tip of this extortion spear, who knew it couldn’t *possibly* be about “patient safety” if grandfathering was to exist, who need to loudly call MOC out for what it is. These boards found a foolproof way to make gobs of money. We cannot let them.
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Westby Fisher, MD
9 months
41k views, but only about 5k signatures? What gives? The petition won’t bite, but signing might help you feel better about signing over more and more money to ABMS member boards for the rest of your physician career. Ask yourself, who ARE these people?👇
@doctorwes
Westby Fisher, MD
9 months
Coming up on 5k!! Keep it going! Petition · Eliminate ABIMs MOC requirement ·
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Westby Fisher, MD
2 months
Critically important for docs to use alternate board for two reasons: (1) shows clinical docs’ acceptance and (2) grows finances of @InfoNbpas to end @ABMSCert monopoly on recert. Simple, affordable process 👇
@chadinabhan
chadi nabhan MD, MBA, FACP
2 months
Officially certified by @InfoNbpas : process was easy, simple, & fast. Submitted my CME which was verified & it was done. Paid one time fee. Stay tuned as @InfoNbpas pres will join #HealthcareUnfiltered soon. Get certified NOW. @AaronGoodman33 @doctorwes @VincentRK @Rfonsi1
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Westby Fisher, MD
20 days
Who is @ABIMcert really working for? Insurers, hospitals, or the AMA? Maybe all of them? And why do they need all that money? What’s it FOR (really)?
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@doctorwes
Westby Fisher, MD
5 years
Good morning all. With the upcoming "Doctors Day," I thought I'd put up a brief tweettutorial on efforts to end MOC by @PPA_USA and what doctors can do about it.
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@doctorwes
Westby Fisher, MD
3 years
This week, thousands of healthcare workers will receive the first dose of the coronavirus vaccine. I’d like to take a sec to thank the bench researchers, lab workers and scientists, logistics personnel, and unsung heros who made this possible.
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Westby Fisher, MD
8 months
Had dinner with a 4th yr med student this weekend. Smart as hell. Knew all about MOC controversy. Finishing sub-intern rotation before applying for match by 27Sep. Doing suck-up thing to get ahead. Nothing would make me prouder than ending MOC for them.
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@doctorwes
Westby Fisher, MD
5 years
Learned this AM that @ABIMCert has done their annual "certification audit" 1 Apr and contacted hospitals to notify them of doctors that are no longer "certified" because their #MOC points lapsed. To those docs, welcome to the fight:
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@doctorwes
Westby Fisher, MD
8 months
Is ABMS Board Certification truly voluntary for physicians? Check the ABMS website and you decide. Same webpage, different dates. Going... going... gone.
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Westby Fisher, MD
2 months
Now THIS is interesting. Especially since I am grandfathered in Internal Medicine, and had a valid cert until 2024 for cardiac EP. Suddenly, this org says I can no longer practice or bill at my hospital. Guess my hospital has to fire me. To my patients: I tried to end this.
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@AaronGoodman33
Aaron Goodman - “Papa Heme”
2 months
I am proud to announce that I am not certified by the ABIM! I encourage everyone to share their pride.
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@doctorwes
Westby Fisher, MD
5 years
“You’re busted, ma’am, I’m a grandfathered white guy and I caught you only doing 45 MOC points when 100 were needed.” 👇
Only hours left to win a $50 gift certificate for the best caption of our latest #cartoon . Submit your entry by noon tomorrow to the ACP Internist Weekly . #contest #MedTwitter #Twitternist
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Westby Fisher, MD
7 months
Imagining retiring and having US physicians say this about your organization. 👇 Quite a capstone to one’s career. But then when u walk away with million$$ of their cash, who cares? ACGME, you did this to the profession of medicine and it’s deplorable.
@wasnick
Rob
7 months
@AaronGoodman33 ABIM is an absolute disgrace and embarrassment. CME is more than enough. Until they have data that can definitively prove board certified physicians are somehow superior, they should cease any and all MOC requirements. Where is hospital leadership?
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@doctorwes
Westby Fisher, MD
5 months
So I guess reading hundreds of echos every week means nothing 👇 So sad to see our profession implode from the inside when we know the real story to “maintaining” competency is not about maintaining one’s skill, it’s about maintaining lifelong payments.
@WilliamZoghbi
WilliamZoghbi
5 months
A welcome #NBE process improvement in maintaining knowledge and competency in Echocardiography. @ASE360 @ACCinTouch @HMethodistCV
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@doctorwes
Westby Fisher, MD
6 years
In opposition to all the negative news lately, I just want to thank whoever that person was that returned my wallet (lost Saturday), fully intact, to the Chicago Ogilvie train station lost and found. There are still lots of good people out there.
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