Internal Medicine Gets Exploited

About this video

An internist visits the American Board of Internal Medicine to question a recurring maintenance-of-certification fee on top of an expensive board exam. Flanary portrays the board’s representative admitting the fees fund the next exam physicians must also pay for, offering no clear proof the process improves patient care, and noting insurers require certification for payment. The conversation is staged as a polite shakedown, with the physician’s certificate implicitly held hostage until he pays.

Key takeaways

  • Flanary portrays maintenance of certification as a pay-to-work requirement rather than demonstrated quality improvement
  • The sketch argues, in his telling, that physicians fund an exam system they are then charged to take
  • He links certification to insurer payment, which is what gives the board its leverage in the scene
  • Continuing medical education is presented by the physician character as separate learning he already does

Episode details: published July 24, 2023 · 363.7K views · 2:00 long. Summary written by Self Growth Videos from the episode itself. Everything described is Dr. Glaucomflecken’s (Will Flanary, MD) satire and commentary on the US medical system, attributed to him as satire — his sketches are comedy, not documentation, and this is not medical advice.


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