Practical write-ups and the MD-Universe Podcast — on licensing, reimbursement, and the business of medicine. Free, no account needed.
The National Board of Physicians and Surgeons recertifies physicians for $189 every two years, needs 50 hours of CME and no exam, and is accepted by every hospital accreditor in the country. On 7 August 2026 Florida became the first state to let those physicians call themselves board certified in advertising. Texas banned MOC requirements in 2017 and still will not.
Every hospital must query the National Practitioner Data Bank about you at appointment and every two years, and subscribing hospitals hear about a new report within 24 hours. Until this spring you saw your own file only by paying for a snapshot. A free account now shows everything, alerts you when a report is filed, and starts the correction clocks before credentialing does.
Nearly $30 billion bought electronic records for almost every hospital in America. It did not buy the ability to move them. Here is the whole arc — what was built, what quietly went wrong, the four hurdles left, and the one fix that needs no new technology at all.
From September 1, 2026, the Texas Medical Board verifies CME exclusively through CE Broker. If TMB cannot verify your hours there, you cannot renew. This comes from Senate Bill 912, which requires Texas licensing bodies to verify CE through an electronic tracking system.
Since March 1, 2026 every physician renewing a Texas licence must submit proof of citizenship or lawful presence — not only IMGs, and not only at initial licensure.