The American Board of Anesthesiology

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Maintenance of Certification in Anesthesiology (MOCA)


NEW Simulation for MOCA Video

The ABA created this video to provide diplomates with insight about what to expect and how they can benefit from participating in a MOCA simulation course.

The Maintenance of Certification (MOC) concept originated with the American Board of Medical Specialties (ABMS) in 1999. The ABA has been charged with implementing MOC activities that will assure the public that its diplomates demonstrate commitment to quality clinical outcomes and patient safety.

Each MOCA cycle is a 10-year period that includes continuing assessment of Professional Standing (medical licensure), ongoing Lifelong Learning and Self-Assessment, a decennial assessment of Cognitive Expertise, and periodic assessments of Practice Performance. MOCA is an opportunity for physicians to improve their skills in six general competencies: Medical Knowledge; Patient Care; Practice-Based Learning and Improvement; Professionalism; Interpersonal and Communication Skills; and Systems-Based Practice.

ABA diplomates certified in 2000 or after hold a time-limited certificate and are enrolled in MOCA after initial board certification. This allows them the full 10-year period to meet all requirements. To avoid expiration of certification, all MOCA requirements must be completed within the 10-year period. Participation in MOCA by non-time-limited diplomates, those certified before 2000, is voluntary and encouraged.



General Information



MOC:PQRS Offers Incentive Payment to Diplomates Participating in MOCA

Diplomates participating in MOCA in 2014 can qualify for a bonus incentive payment if they also participate in the Physician Quality Reporting System (PQRS). MOCA participants will receive an additional 0.5% incentive payment (MOC:PQRS incentive) based on their estimated Medicare Part B Physician Fee Schedule allowed payments for Centers for Medicare and Medicaid Services (CMS). This bonus is in addition to the 0.5% incentive payment allowed for participation in PQRS only. CMS will be offering the MOC:PQRS incentive in 2014 as defined by the Affordable Care Act. The MOC:PQRS incentive is not currently defined beyond 2014.

Click on the below links for step-by-step instructions and requirements for participating in MOC:PQRS.

For additional information, please see the MOC:PQRS FAQs.



Presentations



MOCA Components:  Click to expand any of the components below for more information.


Part 1: Professional Standing

ABA diplomates must hold an active, unrestricted license to practice medicine in at least one jurisdiction of the United States (US) or Canada. Furthermore, all US and Canadian medical licenses that a diplomate holds must be unrestricted.

To fulfill this requirement, diplomates should annually review and update their medical license information via their portal account. Click here for instructions.



Part 2: Lifelong Learning and Self-Assessment

ABA diplomates continually seek to improve the quality of their clinical practice and patient care through self-directed professional development. This is done through an assessment of current knowledge and participation in continuing medical education (CME) activities and other learning opportunities.

The current Part 2 requirement is 250 credits of CME activities. Of the 250 credit total:

To fulfill this requirement, diplomates should submit CME activities to the ABA via their portal account. Self-reported CME activities are subject to audit and verification by the ABA within three years of submission. CME activities reported to the ABA by qualified CME providers, such as the ASA, are not subject to audit and are now automatically credited to diplomates’ accounts.



Part 3: Cognitive Examination

Diplomates must demonstrate their core knowledge once every ten years by passing an ABA examination. The examination is a four hour computer-based examination that consists of 200 multiple choice questions with one best answer. The examination may be completed only in years 7 through 10 of the MOCA cycle. Diplomates are allowed to take the examination up to twice a year. If the examination is not passed before the end of the 10-year MOCA cycle, the diplomate’s certification will expire.

When eligible, diplomates may register for the cognitive examination through their online portal account.



Part 4: Practice Performance Assessment and Improvement

Diplomates must complete multiple activities over their 10-year MOCA cycle to demonstrate that they are participating in evaluations of their clinical practice and are engaging in practice improvement activities. The current Part 4 requirement is completion of both a Case Evaluation and Simulation Course during the 10-year MOCA cycle. One activity must be completed between years 1 to 5, and the second between years 6 to 10. An attestation is due in year 9.

Case Evaluation: A four-step process where diplomates assess their practice and implement changes that improve patient outcomes. In lieu of a self-directed Case Evaluation diplomates may complete one of the following:

  • Reciprocity with other ABMS Boards: One Part 4 activity through any other ABMS Board as long as the date completed falls within the required timeframe as the Case Evaluation. Documentation of completion of the activity must be submitted with diplomates' requests for Part 4 credit. All diplomates enrolled in MOCA must complete a Simulation Education Course and an Attestation as defined by their specific program requirements.
  • ASA Practice Performance Assessment and Improvement Modules: One Module offered by the ASA (20 CME credits). Available on the ASA website at http://education.asahq.org/PPAI.
  • How to Complete a Case Evaluation – Explanation and Samples

Simulation: A contextual learning opportunity to assess and improve their practice in areas such as crisis management in a simulation setting at an ASA-endorsed center.

Attestation: The ABA obtains attestations and evidence of a diplomate’s clinical activity and ongoing program of practice assessment and performance improvement.





MOCA Requirements by Certification Year


Diplomates Certified in 2003

Year 1 2 3 4 5 6 7 8 9 10
Part 1 Maintain unrestricted, unexpired medical license in US or Canada. All licenses held must be unrestricted.
Part 2 225 Category 1 CME Credits with a Max of 70/year (for activities completed 2006 - 2012) and Max of 60/year (for activities completed in 2013 or after)
Part 3 Earn Exam Prerequisites (113 CME credits) Pass Cognitive Examination
Part 4   Attestation   Attestation*  

*Completion of a simulation course is an option in lieu of an attestation.


Diplomates Certified in 2004 - 2007

Year 1 2 3 4 5 6 7 8 9 10
Part 1 Maintain unrestricted, unexpired medical license in US or Canada. All licenses held must be unrestricted.
Part 2 250 Category 1 CME Credits with a Max of 70/year (for activities completed 2006 - 2012) and Max of 60/year (for activities completed in 2013 or after)
Part 3 Earn Exam Prerequisites (125 CME credits) Pass Cognitive Examination
Part 4   Attestation* Case Evaluation or Simulation Education

*Completion of a simulation course is an option in lieu of an attestation. If simulation is chosen for the first Part 4 activity, the second Part 4 activity must be a case evaluation.


Diplomates Certified in 2008 - 2009

Year 1 2 3 4 5 6 7 8 9 10
Part 1 Maintain unrestricted, unexpired medical license in US or Canada. All licenses held must be unrestricted.
Part 2 250 Category 1 CME Credits with a Max of 70/year (for activities completed 2006 - 2012) and Max of 60/year (for activities completed in 2013 or after) which must include:
60 Category 1 credits of Self-Assessment CME
20 Category 1 credits of Patient Safety CME
Part 3 Earn Exam Prerequisites (125 CME credits) Pass Cognitive Examination
Part 4 Case Evaluation or Simulation Education* Case Evaluation or Simulation Education*
  Attestation  

*Complete both a Case Evaluation and Simulation Course during your 10-year MOCA cycle. One activity must be completed between years 1 to 5, and the second between years 6 to 10.


Diplomates Certified or Recertified in 2010 - 2014

Year 1 2 3 4 5 6 7 8 9 10
Part 1 Maintain unrestricted, unexpired medical license in US or Canada. All licenses held must be unrestricted.
Part 2 250 Category 1 CME Credits with a Max of 70/year (for activities completed 2006 - 2012) and Max of 60/year (for activities completed in 2013 or after) which must include:
90 Category 1 credits of Self-Assessment CME
20 Category 1 credits of Patient Safety CME
Part 3 Earn Exam Prerequisites (125 CME credits) Pass Cognitive Examination
Part 4 Case Evaluation or Simulation Education* Case Evaluation or Simulation Education*
  Attestation  

*Complete both a Case Evaluation and Simulation Course during your 10-year MOCA cycle. One activity must be completed between years 1 to 5, and the second between years 6 to 10.




New Reporting of MOCA Participation

In 2010, the ABA began indicating the participation status of all diplomates enrolled in the MOCA program on the ABA Diplomate and Candidate Directory. Diplomates are considered to be participating in MOCA if, by the end of the fifth year of their MOCA cycle, they have satisfactory professional standing, have completed half of their CME credits and have completed one Part 4 activity. All requirements must be completed by the end of the tenth year of the MOCA program. This was the first step in providing greater transparency to the public and healthcare organizations that their physicians were actively engaged in continuing professional development.

Beginning in August 2012, all ABMS Member Boards will expand their reporting to include the MOC participation status of all diplomates. The ABA Diplomate and Candidate Directory will indicate whether a diplomate is or is not “Meeting MOCA Requirements.” The directory will note that ABA diplomates who hold non-time limited certificates are not required to participate in the ABA’s MOCA program.



Applications for MOCA Educational Activities

The ABA is pleased to announce that medical societies and other healthcare organizations offering quality educational activities to enable physicians to fulfill the requirements of the ABA MOCA program may submit a proposal for their educational activities to be considered by the ABA for approval.

The ABA is willing to collaborate with select medical societies and healthcare organizations to provide activities designed to help ABA diplomates fulfill the following requirements of the MOCA program: Part 2: Lifelong Learning and Self-Assessment, and Part 4: Practice Performance Assessment and Improvement.

Process for Activity Submission:  Click to expand.

To submit your organization’s activity to the ABA for approval:
  1. Review the Activity Requirements and guidelines carefully.
  2. Complete and submit the MOCA Activity Application form.
  3. Submit the application form along with the proposed activity module via email to the ABA at moca@theABA.org.  Acceptable file formats for activity submission include: .doc, .docx, .pdf, .xls, .xlsx, .rtf

Decision Process and Timeline

  1. The ABA reviews MOCA activity applications on a first-come, first-serve basis.
  2. The ABA review and approval process takes approximately 8-10 weeks, but can take longer. During this time, the ABA may request additional information.
  3. Once a final decision is reached, the Educational Sponsor will be formally notified in writing.
  4. If an activity application is approved, the Educational Sponsor will be required to sign a written agreement with the ABA. The agreement will specify the terms of the arrangement.
  5. The Educational Sponsor is responsible for the cost of developing and administering the activity, and for submitting a final report to the ABA of diplomate completion of the activity.

Part 2: Lifelong Learning and Self-Assessment


Activities:

Patient Safety Courses:


Part 4: Practice Performance Assessment and Improvement

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