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The Patient Simulation Center at the University of Texas Medical Branch at Galveston (UTMB) offers realistic immersive patient simulation education for ABA Diplomates seeking to fulfill their Practice Performance Assessment and Improvement (PPAI) requirement for MOCA®. We only offer this course a limited number of times each year. These courses fill very quickly so we STRONGLY recommend signing up early if you want to guarantee your spot. This course fulfills one requirement of the ABA's Maintenance of Certification in Anesthesiology Program (MOCA®). For more information regarding MOCA® requirements, please consult the ABA website. The simulation program at UTMB has been endorsed by the American Society of Anesthesiologist's (ASA) Committee on Simulation Education to provide high quality training to ASA members. For information about the Simulation Education Network, click here.

Participant prerequisite:
    American Board of Anesthesiology (ABA) diplomate seeking MOCA® recertification

Future Course Dates:


    6 - 8 hours (8:00 AM to 4:00 PM)

Accreditation and Credit Designation:
   The American Society of Anesthesiologists is accredited by the Accreditation Council
   for Continuing Medical Education to provide continuing medical education for
   physicians. The American Society of Anesthesiologists designates this enduring
   material for a maximum of 6.75 AMA PRA Category 1 Credits™. Physicians
   should claim only the credit commensurate with the extent of their participation in the

Maximum participant to instructor ratio:
    5 to 1

    Click the link above. If the course is listed as Full, you can still register and be placed
    on the waitlist but we rarely have cancellations so we recommend also registering for
    one of the available courses to guarantee a place in some course. You will only be
    charged once.

Cancellation Policy:
    Cancellations more than one month prior to course will receive a full refund minus a
    $250 processing fee. There will be no refunds for cancellations within 30 days of the

*** IMPORTANT NOTICE: Due to the logistics, cost and the manpower required to run these courses. please be aware that if not enough people have registered for the course by 30 days prior, we reserve the right to reschedule the course and will notify you as soon as we know. If you need to cancel for any reason, please let us know as soon as possible so we can fill in from our wait list.

Course Description: Participants will manage a series of simulated adverse events in a variety of patient care settings. Participants will first undergo a brief orientation to the simulation equipment and then be asked to change into scrubs and provide care to a variety of simulated patients. Each participant will be required to take the lead as the primary decision maker on at least one simulated event throughout the day. Other activities will include playing the role of assistant surgeon. This will allow you to evaluate your colleagues and the events from the perspective of another member of the care team. These simulations will use a high fidelity adult, child or baby patient simulator (CAE Healthcare, Inc).

The scenarios will focus on topics critical the practice of anesthesia. Simulated events will include:

1. Management of a difficult airway
2. Management of an adverse respiratory event
3. Management of a significant hemodynamic perturbation
4. Skills in crisis resource management
5. Management of infrequently occurring adverse events and equipment malfunctions.

After each simulated event, there will be a debriefing session where everyone is encouraged to participate.

To meet MOCA® requirements, participants will be asked to submit a report 1 to 3 months following their simulation training describing how it has changed or improved their clinical practice. During each debriefing, potential areas of practice modification will be reviewed.

Sample Itinerary:

7:30 AM - 8:00 AM: Breakfast and Registration (provided)
8:00 AM - 8:15 AM: Course Introduction
8:15 AM - 9:00 AM: Center Orientation (Equipment, Mannequin, Environment)
9:00 AM - 9:30 AM: Lecture: Anesthesia Crisis Resource Management (ACRM)
9:30 AM - 10:30 PM: Group Simulations and Debriefing
10:30 AM - 11:30 AM: Group Simulations and Debriefing
11:30 AM - 12:30 AM: Lunch (provided)
12:30 AM - 1:30 AM: Group Simulations and Debriefing
1:30 AM - 2:30 PM: Group Simulations and Debriefing
2:30 PM - 3:00 PM: Evaluations and Course Wrap-up

About our Center: The Patient Simulation Center is located within the Department of Anesthesiology at the University of Texas Medical Branch at Galveston. It is in a free-standing building, across the street from the main hospital and is staffed and operated by the Department of Anesthesiology. Since 2001, it has provided courses (primarily) to Anesthesiology residents as well as residents from multiple specialties and to medical students. The Center is equipped with state of the art high fidelity full body Patient simulators, audiovisual equipment for debriefing purposes, and staff to provide realistic simulated clinical events. Visitor parking is available at the front of the medical center for a nominal fee.


Ronald Levy, M.D.*
Professor of Anesthesiology
Distinguished Teaching Professor
Suzanne Brown Logan Distinguished Professor
Director, Patient Simulation Center

Stefanie Fischer, M.D.*
Professor of Anesthesiology
Assistant Director, Patient Simulation Center

Beth Teegarden, M.D.*

Assistant Professor of Anesthesiology
Education Director, Patient Simulation Center

Ryan Griffin, M.D.*

Assistant Professor of Anesthesiology

Axel Rodriguez, M.D.*

Assistant Professor of Anesthesiology

Jonathan Garza, BS
Coordinator, Patient Simulation Center

*ABA diplomates

Registration: See Above.

   Tremont House
    Hotel Galvez & Spa: A Wyndham Grand Hotel
   Moody Gardens Hotel
    The San Luis Resort
    Other Housing Options

Transportation: For transportation directions, click here.

   Moody Gardens
   NASA Johnson Space Center Houston
   Visit Galveston

MOCA® and Maintenance of Certification in Anesthesiology Program® are registered trademarks of The American Board of Anesthesiology, Inc.



Center Staff

Ronald Levy, MD

Assistant Director
Stefanie Fischer, MD

Education Director
Beth Teegarden, MD

Center Coordinator
Jonathan Garza, BS

Teaching Faculty
Sharif Mohamed, MD
Ryan Griffin, MD
Michael Cook, MD
Axel Rodriguez, MD

Support Staff
Kimberly Danesi