The American Board of. Anesthesiology MOCA 2.0

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1 The American Board of Anesthesiology MOCA 2.0

2 ABA LEADERSHIP OFFICERS Daniel J. Cole, M.D., President David Geffen School of Medicine at UCLA Brenda G. Fahy, M.D., Vice President University of Florida Deborah J. Culley, M.D., Secretary Brigham and Women s Hospital Santhanam Suresh, M.D., Treasurer Lurie Children s Hospital of Chicago DIRECTORS Rupa Dainer, M.D. Pediatric Specialists of Virginia Robert R. Gaiser, M.D. University of Kentucky Mark Keegan, M.B., B.Ch. Mayo Clinic Alex Macario, M.D., M.B.A. Stanford University Medical Center Thomas M. McLoughlin, Jr., M.D. Lehigh Valley Health Network Andrew J. Patterson, M.D., Ph.D. University of Nebraska Medical Center Margaret M. Pisacano, BSN, J.D., CPHRM UK Healthcare James P. Rathmell, M.D. Brigham and Women s Hospital David O. Warner, M.D. Mayo Clinic 2

3 DISCUSSION OVERVIEW MOCA 2.0 Program Goals Maintaining Multiple Certificates Diplomate Feedback MOCA 2.0 New Features Research Initiatives 3

4 MOCA 2.0 4

5 Why Change MOCA? Board began discussing changing MOCA in 2011 based on: - Advances in technology - Desire to incorporate adult learning theory - ABMS 2015 standards - Diplomate feedback 5

6 MOCA 2.0 GOAL Create a web-based, lifelong learning platform that promotes and supports personalized knowledge acquisition, assessment and demonstration of proficiencies 6

7 MOCA 2.0 REQUIREMENTS Medical License CME MOCA Minute Quality Improvement (QI) Fee: Unrestricted medical licensure No change 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 MOCA Minute longitudinal assessment replaces the onceevery-10-years exam Variety of options provide greater flexibility to complete relevant activities Point system weights activities based on time and effort Simulation is an option; not a requirement, although the ABA strongly encourages participation $210 annual fee for first certificate maintained, $100 annual fee for each additional certificate maintained

focused content that can be accessed and reviewed later to refresh knowledge Allow diplomates

8 MOCA MINUTE 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 8

9 Adult Learning Theory Research suggests that spacing out questions over time and asking individuals to retrieve what they learned previously is a more effective approach to addressing knowledge retrieval and retention In more than 16 randomized trials, physicians improved long-term knowledge retention by answering questions over spaced intervals of time* Repeated testing and self explanation leads to superior longterm knowledge retention and transfer compared with repeated studying/cramming. Incorporating both learning techniques enhances the application of learned material to clinical settings, based on research involving medical students** *B. Price Kerfott, M.D., EdM, Brain Science Provides New Approach to Patient Safety Training Patient Safety & Quality Healthcare, Nov./Dec. 2014, Volume 10, Issue 6 **Comparative effects of test-enhanced learning and self-explanation on long-term retention Douglas P Larsen,1 Andrew C Butler2 & Henry L Roediger III3, 2013 John Wiley & Sons Ltd. MEDICAL EDUCATION 2013; 47:

10 MOCA Minute Participants: Answer 30 MOCA Minute questions per calendar quarter (120 per year by 11:59 p.m. EST) Diplomates with multiple certificates answer only 120 questions per year regardless of how many certificates they have Must report confidence level about answers May tell us how relevant the questions are to your practice Can provide feedback on individual questions 10

11 Measurement Decision Theory Analyzing MOCA Minute Performance The more responses we get, the more certain we can be about whether diplomates knowledge is still up-to-date 11

including pointof-care learning, M&Ms and clinical pathway

12 MOCA 2.0: QI (Part 4) Point System More expansive list of MOCA Part 4 options to give diplomates credit for activities most relevant to their practices Diplomate survey informed new options, including pointof-care learning, M&Ms and clinical pathway development Points allocated based on time and effort to complete an activity Contact us to determine how to get credit for your QI work

13 Reporting QI Requirements 13

14 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 14

15 NEW FEATURES 15

16 MOCA PROGRESS REPORT: PART 3 OLD NEW 16

17 KNOWLEDGE GAPS REPORT 17

18 CME EXPLORER 18

19 PERSONAL PORTFOLIO 19

20 PERSONAL PORTFOLIO 20

21 RESEARCH INITIATIVES 21

22 BASIC EXAM IMPACT ON ITE Published research that connects the BASIC Exam with improved ITE performance Showed an accelerated growth trend, suggesting a positive impact of the staged exams systems on residents ITE performance Study under review for publication Will continue to focus research on impact of changes to primary certification staged exams 22

23 CLINICAL PERFORMANCE & ORAL EXAM SCORES Examined the association between the clinical performance of MGH anesthesia residents and the group s oral exam results Oral exam assesses candidates ability to apply sound judgment in their clinical decision making Found that residents clinical performance scores correlated to their ABA oral exam scores when the exam was taken one year after residency completion Findings published in June 2016 of Anesthesia & Analgesia 23

24 ORAL EXAM SUCCESS & LOWERED LICENSE ACTION RISK Studied correlation between passing the oral exam and risk of medical license actions Federation of State Medical Boards provided data on medical licenses and disciplinary actions from state medical and osteopathic boards Findings published in June 2017 edition of Anesthesiology 24

25 ORAL EXAM SUCCESS & LOWERED LICENSE ACTION RISK Anesthesiologists who passed their oral board certification exam are significantly less likely to face actions against their medical licenses than those who passed only the written exam or neither exam Study supports hypothesis that an oral exam assesses domains important to anesthesiologist performance that are not fully assessed in a written exam 25

MOCA MINUTE RESEARCH Active participation in the early MOCA Minute pilot improved diplomates performance on the July 2014 or January 2015 MOCA Exams Nearly 50 percent of examinees enrolled in the

26 MOCA MINUTE RESEARCH Active participation in the early MOCA Minute pilot improved diplomates performance on the July 2014 or January 2015 MOCA Exams Nearly 50 percent of examinees enrolled in the pilot; active pilot participants scored about 10 points higher on both exam administrations than those who did not participate Study published in November 2016 issue of Anesthesiology Will continue to study the impact MOCA Minute on diplomates knowledge retention 26

27 FUTURE RESEARCH INITIATIVES We hosted two research summits to identify and prioritize our certification and MOCA research efforts Identified specific themes and subthemes Research Committee is developing specific research projects to address themes Will create short, intermediate and long-term strategy Will determine effort and resources needed and potential funding opportunities 27

28 The American Board of Anesthesiology QUESTIONS? COMMUNICATIONS CENTER Phone: (866) Fax: (866) MAIL CORRESPONDENCE ABA Secretary 4208 Six Forks Rd, Suite 1500 Raleigh, NC FOLLOW US:

ABA. The American Board of Anesthesiology. Media Kit

ABA. The American Board of Anesthesiology. Media Kit ABA The American Board of Anesthesiology Media Kit ABOUT THE ABA The American Board of Anesthesiology (ABA) is a nonprofit organization whose mission is to advance the highest standards of the practice