Name, M.D. Title Institution Location ABA MOCA 2.0® Name, M.D. Title Institution Location

Disclosures I am not an ABA director This presentation provides a high-level MOCA 2.0 overview Contact the ABA directly for specific details your MOCA cycle

Why Change MOCA®? Advances in technology Desire to incorporate adult learning theory ABMS 2015 standards Diplomate feedback Advances in technology have made online learning and assessment possible for the ABA. With increasing demands on physicians’ time, the ABA wanted to find a more convenient and customized approach. Adults do not learn the same way as young people. Adult learners want practical and relevant learning tools. The American Board of Medical Specialties (ABMS) sets MOC guidelines. ABMS updated the MOC standards in 2015, making it easier for the ABA to incorporate innovation into its MOCA program. The ABA surveyed its diplomates, who told the Board elements of the program were burdensome. The feedback informed the MOCA re-design.

Evolution to MOCA 2.0® Background 2011: Developed Strategic Plan 2012: Hosted Technology Summit 2013: Conceptualized MOCA 2.0 and MOCA Minute® 2014: Facilitated Collaborative Concept Development 2016: Launched MOCA 2.0 and expanded MOCA Minute™ pilot 2011: Board discussed how advances in technology and learning science could help diplomates learn and retain medical knowledge. Incorporating these concepts into MOCA became part of the Board’s strategic plan. 2012: Board hosted a technology summit to identify new approaches for evaluating proficiency and incorporating technology into the ABA assessment system. 2013: Board outlined its vision for a more personalized MOCA program and created a MOCA Redesign Task Force of anesthesiology content experts and technology specialists to create a framework to get started. 2014: Board created: a MOCA 2.0 prototype, A MOCA 2.0 Users Group (diplomate volunteers) to provide feedback on the prototype, and the initial MOCA Minute pilot to help diplomates preparing for the MOCA Exam. 2016: ABA launched MOCA 2.0 and the MOCA Minute pilot, which replaced the MOCA exam.

MOCA 2.0® Goal To create a web-based, lifelong learning platform that promotes and supports personalized knowledge acquisition, assessment and demonstration of proficiencies.

MOCA 2.0® Launched on Jan. 4, 2016

MOCA 2.0® Eligibility Registration began Jan. 4, 2016 for: Approximately 20,000 diplomates TLCs whose certificates expire on or after Dec. 31, 2016 NTLs currently enrolled in MOCA NTLs not currently enrolled in MOCA can voluntarily register If your certificate expires in 2016 or later and you are participating in MOCA (non-time limited and time-limited certificate holders), you can register for MOCA 2.0. If you completed all of your MOCA requirements in your current cycle, you may register for MOCA 2.0 now, but are not required to complete any MOCA 2.0 requirements (i.e., participate in MOCA Minute) until your current certificate expires. Register for MOCA 2.0 in your portal account. You will need to register for MOCA 2.0 every year that they participate in the program. Non-time limited certificate holders who are not enrolled in MOCA are welcome to register for MOCA 2.0 at any time. Time-limited certificate holders whose certificates expired from Dec. 31,2013 to Dec. 31, 2015 must complete the current MOCA requirements before registering for MOCA 2.0.

Traditional MOCA® vs. MOCA 2.0® Part 1 Professional Standing (unrestricted license) Professional Standing – No change Part 2 Lifelong Learning & Self-Assessment 250 Category 1 CME credits, including: 90 Self-Assessment 20 Patient Safety 250 Category 1 CME Credits (including 20 Patient Safety) Self-Assessment CMEs no longer required Diplomates who previously completed Self-Assessment CMEs will get credit for them in MOCA 2.0 Part 3 Assessment of Knowledge, Judgment, and Skills 200-question MOCA Exam Taken once every 10 years Longitudinal assessment using MOCA Minute™ pilot MOCA Minute™ is being piloted to replace the MOCA Exam “Traditional MOCA” displays the 2015 MOCA requirements. Diplomates in different cohorts may have had different requirements in “Traditional MOCA” than those displayed here. If you want to walk through your cycle to understand what you’ve received credit for and what requirements still have to be met, call the ABA’s Communications Center.

Traditional MOCA® vs. MOCA 2.0® Part 4 Improvement in Medical Practice Attestation Simulation at an ASA-endorsed simulation center Case Evaluation Part 4 requirements vary based on year of certification Variety of options provide greater flexibility to complete relevant activities Point System weights activities based on the time and effort Simulation as an option; not a requirement, although the ABA strongly encourages participation Fee: $2,100 every 10 years $210 annually

MOCA 2.0®: Subspecialties MOCA 2.0 launches for diplomates with subspecialty certificates in 2017 Diplomates with more than one certificate: Will complete a single set of MOCA 2.0 requirements for all certificates Will answer just 30 MOCA Minute questions per quarter (120/year) Will pay $210 for the first one, $100 for each additional one If you have primary MOCA and subspecialty certificates, you will only have to complete one set of MOCA 2.0 requirements [i.e., you will have to earn just 50 Part 4 points in 10 years, not 100 (50 points x 2 certificates)] . Once you register for MOCA 2.0, there will be no recertification examination. However, a larger proportion of your MOCA Minute questions will be related to your subspecialty. If you are only maintaining your subspecialty certificate, you will pay $210 per year and fulfill the MOCA 2.0 requirements displayed on the previous slides. For customized counseling on your MOCA 2.0 requirements, call the ABA Communications Center.

MOCA Minute® Pilot

MOCA Minute® Pilot Objectives Incorporate features of adult learning theory Provide a continuous, dynamic assessment of knowledge using questions similar to those on the MOCA exam Provide focused content that can be accessed and reviewed later to refresh knowledge Allow diplomates to quickly assess their knowledge and then guide them to resources to strengthen their expertise When redesigning MOCA, the Board considered that adult learners: are internally motivated and self-directed bring life experiences and knowledge to learning are relevancy and goal oriented are practical like to be respected

2014 MOCA Minute® Pilot Initial pilot launched in 2014 to prepare diplomates for the MOCA Exam MOCA Minute participants scored higher on exam than diplomates who did not participate Diplomate feedback very positive Far better than a single written exam. I can digest the one topic readily, rather than trying to do too much at once as with a once-a- decade exam. … ABA surveyed diplomates throughout the MOCA redesign process and incorporated their feedback into the redesign. Italics represent an actual diplomate quote.

Access MOCA Minute® Pilot in MOCA 2.0® You may access MOCA Minute in three ways: Through your portal account [left image – in the Part 3 section of the MOCA Progress Reports OR center image - in the Physician Portal MOCA section (“Access MOCA Minute”)] Through weekly email reminders that will include a link to access MOCA Minute questions. Once you’ve completed your 30 questions for the quarter, the weekly emails will stop until the next quarter. Through the MOCA Minute IOS app (right). FYI: ABA has experienced issues with the Android app and is working to fix it.

MOCA Minute® Pilot in MOCA 2.0® Once you open a question, you have one minute to answer it and will learn immediately whether you answered correctly You will receive the questions’ rationale, a critique, associated references and educational materials

MOCA 2.0®: MOCA Minute® Pilot Requirements MOCA participants: Must answer 30 MOCA Minute questions per calendar quarter (i.e., January 1 – March 31) Must let us know how confident they are about their answer May tell us how relevant the questions are to their practice The calendar quarters are: Jan 1- March 31 April 1 – June 30 July 1 – Sept. 30 Oct. 1 – Dec. 31 You will answer a question and hit “SUBMIT.” You will then be asked how confident you are about the answer you selected and will then hit “SUBMIT.” You are required to answer the confidence question. You will then be asked how relevant the question was to your practice. If you respond “not relevant,” you will be asked to explain. Answering the relevance question is optional.

MOCA 2.0®: MOCA Minute® Pilot Requirements MOCA Minute will allow: You to demonstrate proficiency and enhance knowledge The Board to identify diplomates who may not be keeping their knowledge current and require remediation   

MOCA Minute® Question Topics General anesthesia – the base of knowledge New knowledge areas – topics diplomates need to learn quickly (i.e., Ebola, Zika virus) Subspecialty-related questions – based on your practice profile MOCA Minute is designed to assess “walking around knowledge.” While some diplomates practice in a subspecialty and perform little general anesthesiology, the Board feels it’s important for physicians to maintain a base of knowledge in general anesthesia to maintain their certification. In 2017, diplomates who are subspecialty certified will see that a larger proportion of their MOCA Minute questions are subspecialty-focused; however, they will still receive some general anesthesia MOCA Minute questions.

MOCA Minute® Progress Report You will see this screen when you click the link in you weekly email reminder and log into your portal. It provides you with information on your MOCA Minute progress, i.e., percent correct and the number of questions answered. You can also see this information in the Part 3 section of your MOCA progress report.

MOCA Minute® Question History When you click on Question History in the top navigation menu, you will see this screen that allows you to review past questions by topic area.

MOCA Minute® Mobile Application

MOCA Minute® Application

MOCA Minute® Application

MOCA Minute® Application Far right image: You can provide the ABA with feedback on a question, which may prompt the Board to review the question or answer options. Also note, the “+” opens drop downs with key points, references and critique information. Click the plus to see the drop down.

MOCA 2.0®: Part 4 Point System

MOCA 2.0®: Part 4 Point System Diplomate feedback informed new Part 4 options, including point-of-care learning, M&Ms and clinical pathway development Diplomates should earn 25 points every five years; Total of 50 points for 10 years An attestation is required, but will not provide points The Board surveyed diplomates to learn what activities for Part 4: Improvement in Medical Practice they felt were most relevant for improving their practice. The survey results informed this list. You must earn 50 points during the 10-year cycle; 25 in Years 1-5 of your cycle, and 25 points in Years 6-10. Check the ABA website to review Part 4 activity templates and to watch a video with instructions for submitting Part 4 activities. If you have questions, call the ABA’s Communications Center. List of activities available at www.theABA.org

MOCA 2.0® Orientation The ABA produced MOCA 2.0 registration, MOCA Minute and MOCA Part 4 videos to familiarize diplomates with MOCA 2.0 These videos are available on the MOCA 2.0 pages on www.theABA.org

To provide Feedback, visit http://moca.theaba.org/fg.pl If you’d like to give the Board feedback on MOCA 2.0, you can use this web link to do so.

Questions? Communications Center: Phone: (866) 999-7501 Email: coms@theABA.org MOCA Email: Email: MOCA@theaba.org