MOCA FAQs

Time-Limited Certification:
If you were certified in or after 2000, your certification is time-limited. When you receive primary certification, you are automatically enrolled in the MOCA program to allow you the full 10-year period to meet all MOCA requirements. Completion of the MOCA program is required to maintain your primary certification in anesthesiology.  

Non-Time Limited Certification:
Participation is voluntary for diplomates certified before 2000, and our response to why you should participate is multi-faceted:
  • You are completing a lot of the MOCA requirements already. You are maintaining an unrestricted medical license in the United States or Canada (Part 1 requirement). Many diplomates exceed our average CME requirement of 25 credits per year (Part 2 requirement). Many diplomates participate in group quality improvement activities that can be modified to qualify for a case evaluation (Part 4 requirement). The only thing left is the Assessment of Knowledge, Judgment and Skills (Part 3 requirement), which allows diplomates to demonstrate that their medical knowledge is current.
  • You can demonstrate that you are keeping up with your colleagues. The MOCA program is a great way for you to show that you are dedicated to lifelong learning and want to keep up-to-date alongside your less experienced colleagues.
  • You have nothing to lose. Participating in MOCA will in no way jeopardize your non-time limited certificate status and you can withdraw from the program at any time.
  • It’s FREE to enroll online through your portal account.

Time-Limited Certification:
Diplomates certified in 2000 or later are automatically enrolled in the MOCA program as soon as they receive primary certification. There is no enrollment fee.

Non-Time Limited Certification:
You may enroll online through your personal portal account. There is no enrollment fee. If you need help enrolling, please contact our Communications Department toll-free at (866) 999-7501 for assistance Monday through Friday from 9 a.m. to 5 p.m. EST.

There is a single fee that diplomates must pay for each 10-year MOCA cycle. This fee, due upon registration for the exam, covers the administration of the MOCA program for the entire 10-year period and one opportunity to take the exam. Please click here to view current MOCA fees.

If you paid an application fee at the time you enrolled in the MOCA program, $250 will be automatically credited toward your first MOCA fee.

Starting in 2014, all ABMS Member Boards have expanded their reporting to include the MOC participation status of all diplomates, not just those enrolled in MOC. Now, our Diplomate and Candidate Directory and the ABMS physician directory indicate whether a diplomate is “Meeting MOCA Requirements.”

Diplomates are meeting the requirements if, by the end of the fifth year of their MOCA cycle, they have:
  • satisfactory medical licensure for Part 1;
  • completed half of their CME credits for Part 2; and
  • completed one activity for Part 4.
Time-Limited:
If you have not met the above requirements by the end of the fifth year of your MOCA cycle, the ABA Diplomate and Candidate Directory and the ABMS physician directory will indicate that you are “Not Meeting MOCA Requirements.”
 
Non-Time Limited:
The ABA Diplomate and Candidate Directory and the ABMS physician directory will note that diplomates who hold non-time limited certificates are not required to participate in the MOCA program.

Time-Limited:
Yes! If you do not complete all of your MOCA requirements within your 10-year cycle, your certification will expire and you will no longer be Board Certified, in the Examination System or Meeting MOC Requirements. We will reinstate your certified status when you complete all MOCA Program requirements and pay the reinstatement fee (see below).

To help you regain your certification, we will move your 10-year MOCA cycle forward one-year. Any activities completed in your original Year 1 (CME credits) will be removed and you will be required to redo those activities. Upon successful completion of the Year 1 activities and any other activities you did not complete in the first 10 year cycle, we will issue you a MOCA certificate valid for 10 years from the date of completion of the program. Please note that we will move a MOCA cycle forward, one year at a time, for up to three years.

At the end of the three years, if the MOCA program requirements have not been completed, you will have to restart the primary certification process by completing the following steps:

  • Submitting a new registration to enter the ABA examination system.
  • Taking and passing the primary certification examinations under the current registration process.

  • Upon successful completion of the primary certification process, you will re-attain "diplomate" status and will be issued a new time-limited certificate.

    Non-Time Limited:
    No! If you were certified before 2000, the certificate the ABA issued to you is not time-limited and does not have an expiration date. Participation in the MOCA program is voluntary and does not jeopardize your status as an ABA diplomate. If, for any reason, you do not satisfy the MOCA program requirements you will retain your status as an ABA diplomate because you hold a non-time limited certificate.
     
    To assist you in completing your requirements, we will move your 10-year MOCA cycle forward one year. Please note that we will move a MOCA cycle forward, one year at a time, for up to three years. Non-time limited certificate holders who do not complete MOCA within 13 years of enrolling and wish to complete the program must take and pass the MOCA Assessment of Knowledge, Judgment and Skills before they will be allowed to fulfill the remaining program requirements.

    Reinstatement Fee:
    Effective Jan. 1, 2014, all diplomates who do not complete the MOCA program in 10 years must pay a reinstatement fee for each year (up to three years) they continue in the program (Years 11, 12 and 13).
Year 11 - $525
Year 12 - $525
Year 13 - $525

The fee is cumulative, so physicians who do not pay until Year 12 must pay the fee for Years 11 and 12 ($1,050); physicians who do not pay until Year 13 must pay the fee Years 11, 12 and 13 ($1,575).
MOCA certificates are valid until Dec. 31 of the 10th year after the certification year. Diplomates must complete the MOCA requirements before their time-limited certificate expires to maintain their primary certification in anesthesiology.

MOCA Part 1: Professionalism & Professional Standing

This requirement may be unsatisfactory for one of these reasons:
 
  • You have restrictions on one or more of your medical licenses. The ABA defines a restriction as the revocation, suspension or surrender in lieu of revocation or suspension.
  • All of your medical licenses are unrestricted but we do not have an unexpired, unrestricted medical license on file for you. You will need to click on "Update your medical license information" in your portal account and provide a valid expiration date for any active medical licenses you hold.
  • We may need to verify newly entered or updated medical license information before the status can be changed to "Satisfactory."

Yes, you must advise us of any and all restrictions placed on any of your medical licenses and must provide complete information concerning such restrictions within 60 days after their imposition. Such information shall include, but not be limited to, the identity of the State Medical Board imposing the restriction as well as the restriction's duration, basis, and specific terms and conditions. Diplomates discovered not to have made disclosure may be subject to sanctions on their diplomate status. You can report medical licensure actions via your personal portal account.

MOCA Part 2: Lifelong Learning & Self-Assessment

Lifelong Learning activities are designed to increase your knowledge (e.g., lectures and conferences).

Self-Assessment activities are designed to help you determine your current level of knowledge (e.g., question and answer activities).

Time Limited
Yes, you may receive credit for ACCME/AMA PRA-approved Category 1 CME activities completed after the date you were certified.

Non-Time Limited
Yes, you may receive credit for ACCME/AMA PRA-approved Category 1 CME activities completed within the 10-year MOCA cycle. The 10-year MOCA cycle is calculated by taking the year in which the diplomate wants to complete the MOCA program and looking back 10 years in time.

The ABA does not grant CME credit for specialty or subspecialty certification. However, by completing the requirements for certification, you are eligible for AMA PRA Category 1 Credits™ issued directly by the American Medical Association. Information on the AMA PRA direct credit is available on the AMA website at www.ama-assn.org/go/directcredit. Please note that these credits cannot be applied to your MOCA program requirements.

The ABA does grant 50 CME credits for completion of a 12-month ACGME-accredited subspecialty program, fellowship training program or a 12-month anesthesiology subspecialty fellowship program sponsored by an ACGME-accredited anesthesiology program. In order to apply these credits to MOCA, you must have completed the fellowship in or after the year you received your ABA primary certification in anesthesiology.

The ABA will grant full credit only for Category 1 CME from sponsors approved by the Accreditation Council for Continuing Medical Education (ACCME) or eligible for Category 1 credit from the American Medical Association's Physician Recognition Award (PRA) Program.

Additionally, we will grant Category 1 CME credit for activities approved as Category 1-A by the American Osteopathic Association.

Click here for instructions on how to report your CME. If you need help, please contact our Communications Department at (866) 999-7501 for assistance Monday through Friday from 9 a.m. to 5 p.m. EST.

Yes. The ABA will only grant credit for ACCME/AMA PRA-approved Category 1 for the MOCA Part 2 requirement.
There are no yearly minimum requirements for CME activities. However, diplomates participating in MOCA must complete CME activities in at least 5 of the 10 years in the MOCA cycle. Half of the CME requirement must be completed by the end of Year 5 for diplomates to be considered “Meeting MOCA Requirements.”
 
Additionally, no more than 70 CME credits per calendar year (completed between 2006 and 2012) and no more than 60 CME credits per calendar year (completed in or after 2013) will be applied toward the Part 2 requirement.
Yes, as long as the sponsor of the activity is the same and the activities are completed in the same calendar year. You can total the amount of credit you receive for a recurring activity and report completion on a monthly, quarterly, biannual, or annual basis.
Yes, all self-reported CME credits are subject to audit. If audited, we will identify the CME activities you reported within three years and request that you submit supporting documentation. Please do not submit documentation until we request this information from you. 

Third-party CME providers may electronically submit CME activities and credits to us for our diplomates and we will import the activities into your account. A list of providers who report CME to the ABA is available here. Please note that the provider reported activities will be displayed in red in your CME activity listing in your portal account.

MOCA Part 3: Assessment of Knowledgde, Judgment & Skills

You may take the MOCA Assessment of Knowledge, Judgment and Skills up to two times per year during Years 7 – 10 of your 10-year MOCA cycle if you have completed all of the prerequisites (see Question 5). The examination is given during a two week period in both January and July. Please note that you do not need to wait until the end of the 10-year cycle to take it.

If you choose to take the exam before Year 10 of your MOCA cycle, you will not lose time on your certification. Your next MOCA cycle will start at the end of your 10-year cycle once you have completed all MOCA requirements, regardless of how early you take the examination.

No, the Assessment of Knowledge, Judgment and Skills is only one of four components of the MOCA program, so regardless of when you fulfill the examination requirement, the earliest you will receive a MOCA certificate is the day after your current certificate expires.

The MOCA Assessment of Knowledge, Judgment and Skills is administered at Pearson VUE testing centers in more than 300 cities throughout the United States, Canada and U.S. Territories. Once we receive your completed registration and MOCA fee, we will email you information about how to schedule your exam date, time and location with Pearson VUE. We recommend that you schedule your exam as soon as you've received the Pearson VUE information as the testing centers have a limited number of seats and do fill up quickly. 

Please click here to view the current MOCA fees. If you paid an application fee at the time you enrolled in the MOCA program, $250 will be automatically credited toward your first MOCA fee.

Maintain satisfactory Professional Standing (medical licensure).

  • Have at least 125 Category 1 CME credits granted toward the total of 250.
  • Have one satisfactory Practice Performance Assessment and Improvement activity completed.
  • Be in Years 7 to 10 of your MOCA cycle.
The Assessment of Knowledge, Judgment and Skills is offered during a two week period in both January and July. If you have met all of the prerequisites noted above, we will send you an email to register for the exam in your portal account and pay the MOCA fee. Once we receive your completed registration and MOCA fee, we will email you information about how to schedule your exam date, time and location with Pearson VUE.

Please note that Pearson VUE has a limited number of test sites and dates available and testing appointments are scheduled on a first-come, first-served basis. The earlier you register for the exam and are able to schedule your test appointment, the more likely you are to receive your preferred test location.

The ABA does not sponsor or make recommendations regarding review courses, study material, etc.; however, we do provide sample questions, key words and an examination tutorial. The tutorial can be downloaded to your computer and shows the format of the computer-based exam. Links to all of this information can be found here.

The examination is administered at computer testing centers and is composed of 200 multiple choice questions, of which the content is approximately:
  • 150 questions in General Anesthesia
  • 50 questions divided among: Pediatric Anesthesia, Cardiothoracic Anesthesia, Neuroanesthesia, Critical Care Medicine, Obstetrical/Gynecologic Anesthesia, and Pain Medicine.
You will be required to answer all questions to complete the examination and will have 4 hours to do so. There is a 20-minute break.

MOCA Part 4: Improvement in Medical Practice

Diplomates certified in 2008 or later can complete the Case Evaluation and Simulation Education in any order. You must complete one activity in Years 1-5 and the other in Years 6-10 of your MOCA cycle. Both activities must be completed in your 10-year cycle. An Attestation will be due in Year 9.

The ASA Committee on Simulation Education, in conjunction with the ABA, has established core curricular components for all simulation courses that are taken to satisfy ABA requirements. These include:

  • Six hours minimum of total course instruction
  • Required active participation in realistic simulation scenarios
  • Post‐scenario peer debriefing
  • Management of difficult patient‐care scenarios
  • An emphasis on teamwork & communication
  • All participants have at least one opportunity to be the primary anesthesiologist‐in‐charge
  • One instructor must be an ABA diplomate
  • Instructor‐to‐student ratio is no greater than 1:5
  • Click here to watch the Simulation for MOCA video

MOCA credit is independent of CME credit. Some centers may elect to provide CME credit. Please contact the simulation center where you will take the course for specific CME information about their courses.

Simulation courses are not pass/fail exams, but are experiential learning opportunities that are designed to stimulate practice improvement. Your performance during the course will be reviewed during the instructor‐facilitated peer debriefing; however, you will not receive a formal, written evaluation of your performance.

Visit the ASA website at www.asahq.org for the full list of Simulation Education Network centers that offer simulation‐based training. You will need to contact the center directly to schedule your course. We recommend that you schedule your simulation course well in advance to ensure availability.

To fulfill the attestation requirement, you must complete an online form through your portal account to provide information on your clinical activity and attest to your practice improvement activities. You will also be required to submit three references to confirm your clinical activities. Click here for complete instructions.