Welcome to the MOCA site of the BIDMC’s Shapiro Simulation and Skills Center of the Harvard Medical School. Thank you for choosing our center. We look forward to seeing you soon for the Part IV Training in Simulation to attain MOCA certification. Please review the following directions to make your experience smooth and enjoyable.


Who are you, the participants? We see recent graduates and seasoned veterans, anesthetists from private practice and academic centers. Some are “grandfathered” and taking MOCA for fun; others are reluctant participants who have waited until the last possible minute. All are anesthesiologists with a passion for their job and with wisdom to share with others.


There is nothing to read or to prepare prior to arrival for the MOCA simulation course. We hope that you will participate in several simulated clinical experiences; that you will provide anesthesia care; and that you will behave as you do in your present position. Scrubs will be provided. Food and beverages will be provided. An orientation to the mannequin and the clinical space will precede the session.

The Course Schedule

The MOCA course is 6 hours. Please arrive on time. A course outline will be provided. An introduction will review the participant requirements for MOCA certification, the course requirements as stipulated by the ASA, and the guiding principles of team training.

Simulation Experience

The simulations will involve whole body mannequins in a realistic clinical scenario. The mannequins breathe, blink and talk. The anesthesia machines and monitors work. Drugs and fluids can be administered to the mannequin patient. Surgeons, nurses and other personnel are available to help. We will try to provide an immersive experience that feels like a real clinical situation.

Structured Debriefing

Following each scenario will be a structured debriefing, which focusses on the elements of team work and communication during the scenario. Video review will be involved. The analysis is not evaluative. The analysis is not punitive. All the participants and debriefers will draw from their collective experiences, which include mistakes, to form elements of clinical management during a crisis.

ASA Reporting

Before you leave our center, you will contact the ASA and complete the survey to start the process of MOCA certification. Specialists will get you to the proper ASA website and guide you through the survey that is your first step to MOCA Simulation certification. We do this because the ASA requires that all MOCA participants complete the survey process within 90 days or run the risk of losing credit for the simulation training. We want you to get full credit.

We look forward to meeting you and hope to provide a fun, realistic, stimulating, thought-provoking and valuable simulator experience. Please contact us if you have any questions.