When the American Board of Anesthesiology (ABA) started Maintenance of Certification in Anesthesiology™ (MOCA®) to provide better patient care, the simulation component seemed to be the more popular, albeit the more costly, part of MOCA chosen by participants in the program. In 2016, the ABA launched MOCA 2.0®, a redesigned version of the program. In MOCA 2.0, the ABA made the simulation component optional and expanded its offerings for the improvement in medical practice activities. Such expansion, combined with the advancement of data collection provided by clinical data registries, has opened the door for alignment of practice quality improvement (QI) activities required as part of the MOCA IV with the qualitative feedback of clinical data registries.

The Multicenter Perioperative Outcomes Group (MPOG/Aspire) has been the first registry to seek such an alignment, followed closely by the Anesthesia Quality Institute’s National Anesthesia Clinical Outcomes Registry (AQI NACOR)....

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