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

2. 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

3. 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.

4. 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.

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

6. MOCA 2.0® Launched on Jan. 4, 2016

7. 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.

8. 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.

9. 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

10. 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.

11. MOCA Minute® Pilot

12. 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

13. 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.

14. 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 reminders that will include a link to access MOCA Minute questions. Once you’ve completed your 30 questions for the quarter, the weekly s 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.

15. 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

16. 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.

17. 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   

18. 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.

19. MOCA Minute® Progress Report
You will see this screen when you click the link in you weekly 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.

20. 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.

21. MOCA Minute® Mobile Application

22. MOCA Minute® Application

23. MOCA Minute® Application

24. 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.

25. MOCA 2.0®: Part 4 Point System

26. 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

27. 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

28. 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.

29. Questions? Communications Center: Phone: (866) 999-7501
MOCA