![]() ![]() These issues will discourage clinicians from routinely assessing cognition and create substantial inconvenience and potential legal challenges for healthcare systems choosing to retain access to the MoCA. We assume that patients will have to consent to the use of their clinically acquired data and that proxy consent will be needed when consent capacity is in question. 2 In recent e-mail exchanges, Nasreddine told us that his goals are to create an international database that may be shared with researchers and sold to commercial or other entities, and to support further development of the MoCA by user fees and other funding. Under the new requirements and subject to uncertain future iterations, users must register a unique profile, obtain consent, and enter selected patient data and test responses through an online portal for centralized scoring. Ziad Nasreddine, the MoCA's author and copyright holder, has created a company (MoCA Test Inc to manage certification, licensing, administration, scoring, and communication. With its catchy name, visual appeal, and free download, the MoCA is the preferred cognitive mini-battery for use in clinical care, training, and research, and it has found its way into a number of electronic medical record platforms. Colleagues, especially those who experienced the privatization of the Mini-Mental State Examination (MMSE) in 2000, 1 have registered a range of reactions from resignation to anger and disgust. Users must be trained and certified for a fee of $125 and recertify every 2 years. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.In late June 2019, we learned that the Montreal Cognitive Assessment (MoCA) would become proprietary in September. The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. If you have needs that require special accommodations, including dietary concerns, please contact the CME Conference Coordinator. Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008. ![]() Scenarios may feature either an adult or a pediatric patient, and require the participant to demonstrate the identification and management of acute events. This is reinforced by the Practice Improvement Plan (PIP) that they generate in response to what they have learned. The debriefing session affords a valuable opportunity for reflection and encourages participants to make changes to their own practice. ![]() ![]() It allows them to practice managing these cases efficiently, as well as gaining the opportunity to practice how to deal with those rare and serious events that they may not have seen in their careers. The scenarios capture serious events that are common, as well as some that are rare. By participating in scripted simulations scenarios, physicians have the opportunity to hone their skills in the diagnosis and management of critical events. The course offers hands-on practice related to current techniques, diagnosis, and treatment of difficult anesthesia cases, as well as teamwork in crises through Crisis Resource Management (CRM) training. This course is designed to meet the American Board of Anesthesiology requirements for anesthesia delivery providers. ![]()
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