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Physicians and patients wanting to know more about the appropriate mechanism for terminating a patient-physician relationship should contact their state medical licensing board to find out what the regulations are in their state.Opinion 1.1.2 “Prospective Patients” defines circumstances in which a physician may ethically decline to accept specific patients before a patient-physician relationship has been established.
Legal standards of professional conduct are set by individual state medical licensing boards and may vary from state to state.
While there is no single definition of unprofessional conduct, the Federation of State Medical Board defines such conduct as: Billing disputes and poor customer service are generally not viewed as unprofessional conduct.
The American Board of Internal Medicine (ABIM) has long required internists to pass Maintenance of Certification exams every 10 years to keep their board-certified status.
However, this policy has recently come under scrutiny due to its high burden to doctors and the lack of sound evidence that recertification processes improve doctors’ quality of care.
While there is some evidence that physicians’ clinical knowledge, adherence with up-to-date standards of care, and performance on process measures may wane as they get older, little is known about whether and how age impacts physicians’ practice and their patient outcomes. This would help inform new efforts to educate older physicians and improve clinical outcomes.