1. ABA FORUM ANESTHESIOLOGY 2018 ALEX MACARIO, M.D. RUPA DAINER, M.D.
ABA Director
Stanford University School of Medicine
RUPA DAINER, M.D.
ABA Director Pediatrics Specialists of Virginia

2. MOCA 2.0® OSCEs Vision MOCA 3.0 Research and Initiatives
DISCUSSION OVERVIEW
MOCA 2.0®
OSCEs
Vision MOCA 3.0
Research and Initiatives

3. MOCA 2.0® REQUIREMENTS Medical License
Unrestricted medical licensure
CME 250 Category 1 CME Credits (including 20 Patient Safety)
MOCA Minute®
Answer 120 questions each year and meet the standard
Quality Improvement Collect 25 points every five years; Variety of options
MOCA Minute was approved to transition from a pilot to a permanent program component last spring
It replaced the once-every-10-years exam
MOCA Minute performance standard is ≥ .10. You can see how you’re doing in your progress report in your portal account
We added more choices for activities diplomates can complete to fulfill the Quality Improvement or Part 4 component
We now have a point system that weights activities based on time and effort
Fee: $210 annual fee for first certificate maintained, $100 annual fee for each additional certificate maintained

4. MAINTAINING MULTIPLE CERTIFICATES
Diplomates maintaining more than one certificate complete a single set of MOCA 2.0 requirements for all certificates
Answer just 30 MOCA Minute questions per quarter (120/year by 11:59 p.m. EST on Dec. 31)
Pay $210 for the first certificate, $100 for each additional one
Diplomates maintaining Sleep Medicine and/or Hospice and Palliative Medicine certificates:
Take the subspecialty recertification exam once every 10 years in lieu of answering MOCA Minute questions

5. QUALITY IMPROVEMENT (PART 4)
Our goal is to make the activity options broader to encompass any QI-related project diplomates may be participating in, like presenting an M&M, developing or participating in the development of a clinical pathway, researching topics for your cases (point-of-care learning) or completing improvement plans
Simulation courses are no longer required, but are encouraged
QUALITY IMPROVEMENT (PART 4)

6. QI (PART 4) ACTIVITY OPTIONS
MOCA simulation course
Other on-site simulation course
Online simulation
Other ABMS Member Board Activity
Institutional/departmental quality improvement project leader
Quality improvement plan based on feedback
Multicenter Perioperative Outcomes Group (MPOG): ASPIRE provider feedback s
Clinical pathway development leader or participant
ABMS Multi-Specialty Portfolio Program leader or participant
Case evaluation, M&M/case discussion or practice improvement CME
Point-of-care learning
AQI NACOR: Measure Review and Quality Improvement Action Plan
We recently added more online simulation courses (Sim Stat) and new options for completing improvement plans through AQI and the ASA
Contact the ABA if you are having trouble determining where your project fits or how many points it could earn
Requirement is to complete 25 points every 5 years for a total of 50 points in 10 years
These points will count for all of your certifications (Example: Even if you have two ABA certificates, you will only have to accumulate 50 Part 4 points)
You no longer have to fill in a template; you now attest to have completing an activity

7. TOOLS TO SUPPORT LIFELONG LEARNING
New added features to MOCA 2.0 to enhance your experience and support your lifelong learning goals
The following features can be accessed in diplomates’ portal account (but not via the MOCA Minute mobile app)

8. KNOWLEDGE ASSESSMENT REPORT
MOCA Minute Knowledge Assessment Report provides information about areas of knowledge diplomates can build upon
It includes only questions answered incorrectly on the latest attempt
It has links to the full question & answer and shows peer performance on individual questions
It also identifies additional learning opportunities and CME activities to help enhance your practice
You can access a snapshot of your performance from year to year to see areas of improvement
Link to your KAR can be found under the Part 3 section of your Progress Report of your portal

9. CME EXPLORER
We’ve created a system to aggregate Category 1 CME activities, including Patient Safety CME, in one convenient location. It’s produced by more than 100 specialty and subspecialty CME societies and providers
You can get to the CME Explorer through the Knowledge Assessment Report or through your portal under the MOCA section on the homepage
We currently have more than 800 CME activities and expect that number to grow as providers add more activities
We do not produce any of this CME and do not stand to gain financially in any way from you participating in it

10. QUESTIONS?

11. PHASES BUILDING MOCA 3.0 CUSTOMER EXPERIENCE
INCORPORATE NEXT GEN LEARNING
Earlier this year, we began visioning MOCA 3.0, a continuing certification program designed to promote lifelong learning, improve public health and enhance outcomes
During this multi-phased initiative, we will develop an interactive, diplomate-centered program that incorporates next-generation learning tools (e.g., micro and in situ learning)
It will be designed to offer MOCA credit for participating in on-the-job learning; learning that is most meaningful to your practice and improving patient care
DEVELOP NEW ASSESSMENT PLATFORMS
ENHANCE QI/REGISTRY INTERFACE

12. PHASE 1 Phase 1 focuses heavily on enhancing the user experience
We are redesigning the Physician’s Portal and developing an ABA mobile application with you in mind
We’ve commissioned a MOCA 3.0 Users’ Group of 17 physician diplomates to help guide the redesign
Adding value to your practice begins with ensuring you have a good experience when you engage with us

13. PHASE 1: DISCOVERY Residents: Diplomates:
“I’m happy MOCA exists. If you’re in an academic environment, you’re forced to remain updated. When you’re in a private practice setting, which is where I’m heading, it’s different.”
“I believe there are more professional opportunities for board-certified anesthesiologists.”
Diplomates: 
Gamification a must
Appetite for bite-sized learning
Desire for comprehensive knowledge assessment report
Phase 1 relies heavily on physician feedback, including surveys, focus groups, Google Analytics browser/operating system data, and the Users’ Group
These comments come from conversations with members of the Users’ Group, which is helping to lead the MOCA 3.0 phase 1 project

14. MOCA 3.0 TIMELINE Phase 1 is expected to be completed by next summer
The development of MOCA 3.0 is a phased process that we expect will span the next few years
Phase 2 - we’ll incorporate next-generation learning tools (e.g., microlearning); offering diplomates credit for participating in on-the-job learning

15. ABA-DIPLOMATE PARTNERSHIP
Many changes to MOCA were based on diplomate feedback
The Board is committed to partnering with you to ensure its programs meet its mission AND address your needs
We want to hear from you - Send feedback anytime to stop by our booth, call our 800 number – (866)

16. QUESTIONS?

17. OSCE – A LOOK AT THE FIRST YEAR
The OSCEs launched March 5
We want to better assesses two domains important to patient care - communication and professionalism, and technical skills
Candidates can show rather than tell us how they would manage situations that require these skills
We hope to drive improvement within residency programs
These domains are important in physician performance after training
Our ultimate goal is to help improve patient outcomes
OSCE – A LOOK AT THE FIRST YEAR

18. OSCE DOMAINS & SCENARIOS
COMMUNICATION & PROFESSIONALISM
TECHNICAL SKILLS
Informed consent
Treatment options
Peri-procedural complications
Ethical issues
Communication with other professionals
Practice-based Learning and Improvement
Interpretation of monitors
Interpretation of echocardiograms
Application of ultrasonography

19. RESEARCH AND INITIATIVES
Our research and initiatives are driven by our diplomates. We want to ensure our assessments are valid and that our policies meet your needs
We want to make sure that physicians have quality assessments throughout training and ultimately help improve patient care
Research Committee develops specific research projects to address current themes
RESEARCH AND INITIATIVES

20. RESEARCH
Did adding the BASIC Exam after CA1 year increase knowledge at the end of residency as measured by the exam after graduation?
Is participation in MOCA associated with fewer license actions taken by the state against the physician?
What are the trends in burnout among residents across the country over the past seven years?
The goal of our research is to evaluate the efficacy of our programs to support strategic and operational decisions, and to provide information that advances medical education and physician well-being
We hosted two research summits to identify and prioritize our certification and MOCA research efforts

21. New Subspecialty Certification in Neurocritical Care
We will co-sponsor subspecialty certification in Neurocritical Care with ABPN starting in 2021
This adds to our five current subspecialties
Qualification criteria available by end of 2018
Must have completed an ACGME-accredited fellowship program
Fellows must be certified in anesthesiology prior to registering for a subspecialty exam

22. Medical and Family Leave
Revised Absence from Training Policy
Revised leave policy broadly addresses medical and family leave, including maternity and paternity leave and all aspects of family leave, like death of a parent
“Life happens” and residents should not be at a disadvantage for future employment and/or fellowship opportunities
We will be surveying trainees, chairs and program directors to ensure policy meets their needs prior to policy launching
Once we receive the survey data we will finalize and announce the policy
It will go into effect July 1, 2019

23. EXTRA BREAK TIME FOR NURSING MOTHERS
Making sure candidates are in the best condition to be successful
EXTRA BREAK TIME FOR NURSING MOTHERS
Taking a certification exam is an important step in candidates’ career
We provide extra break time for nursing mothers during most of our exams
Requests for additional time must be received before the exam administration
See the ABA website for additional details for each exam

24. ALTERNATE ENTRY PATH (AEP)
The Alternate Entry Path program allows international medical graduates who were certified in anesthesiology in another country and are practicing anesthesiology in the United States to qualify to take our primary certification exams
In 2019, we’re broadening the program to provide additional options for outstanding internationally trained and certified anesthesiologists to become board certified
We’re launching a new clinician educator pathway. Applicants need to be clinically active with a faculty appointment for four continuous years in an ACGME-accredited anesthesiology program and have an academic rank of assistant professor or higher
Additional information will be available on the ABA website by the end of the year
This is the first step toward increasing access to our certification programs
ALTERNATE ENTRY PATH (AEP)
Broadening the Pathway to Certification

25. More than 400 Examiner Nominees
Our volunteers are critical to the success of our exams and our mission
We had an extraordinary number of examiner applicants this year to fill 20 to 25 vacancies
We want to thank everyone who applied
The Board will review all of the applications at our January meeting and will notify all selected applicants in February
More than 400 Examiner Nominees

26. QUESTIONS? Follow Us: Communications Center Mail Correspondence
Phone: (866)
Fax: (866)
Mail Correspondence
ABA Secretary
4208 Six Forks Rd, Suite 1500
Raleigh, NC
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