SCAI Town Hall: Time for Change? The Future of IC MOC Volume Requirements-SCAI Town Hall - Changing MOC: Why SCAI Is Calling for an End to Volume Reporting

Video Transcription

Video Summary

SCI held a town hall on changing maintenance of certification (MOC) requirements in interventional cardiology, focusing on its call to end procedural volume reporting. Dawn Abbott explained that volume has long been used as a competency marker, but modern practice now relies more on outcomes, quality metrics, registries, peer review, and local credentialing. She reviewed the history of volume thresholds in board certification and noted that interventional cardiology is the only ABIM specialty still required to report procedural volume.<br /><br />Dr. John Messinger presented evidence showing that procedural volume does not reliably predict outcomes, citing registry and state data with no clear threshold linked to mortality or MACE. Dr. Joaquin Siqueiroa outlined SCI’s position: competency should be assessed through outcomes, peer review, OPPE/FPPE, and quality systems, not volume counts. He emphasized that SCI is asking ABIM to end volume reporting without replacing it with another centralized metric.<br /><br />Survey results showed broad member support for eliminating volume reporting, mainly due to its poor correlation with competence, administrative burden, and potential harm to rural and low-volume practices. The Q&A highlighted concerns about peer review fairness, access to care, cumulative experience, and the need for better local and specialty-specific oversight.

Asset Subtitle

J. Dawn Abbott, MD, MSCAI; John C. Messenger, MD, MSCAI; Joaquin E. Cigarroa, MD, MSCAI; Arnold H. Seto, MD, FSCAI; Ted A. Bass, MD, MSCAI

Asset Caption

closed captions are computer-generated

Keywords

maintenance of certification

interventional cardiology

procedural volume reporting

competency assessment

outcomes metrics

peer review

ABIM

quality metrics

credentialing