I agree that in its current state, the AMA does not do a whole lot for physicians. However, I would argue that if more physicians took an active interest in policies that benefitted all specialties, the AMA wouldn't be this shell of an organization that benefitted themselves more than others.

That being said, maybe sticking with state organizations might be a more fruitful endeavor.

Additionally, while physicians are a heterogenous bunch, there are many issues that almost all physicians agree with. Use the AMA to collectively lobby for those, and stick to the specialty organizations to push for more individual issues.