Boston Children’s Hospital was recently endorsed by the ASA Simulation network to offer Pediatric MOCA® Simulation courses. Our faculty has developed challenging scenarios for the experienced pediatric anesthesiologist as well as the general practitioner. This 6-hour program takes place in the operating rooms and recovery area of Boston Children’s Hospital. It includes an introduction to the basic principles of crisis resource management, teamwork and communication, 4-5 different pediatric scenarios, each followed by a debriefing session, and a final summary discussion. Our simulation group is small, limited to 4-5 participants and 2-3 faculty members, to enhance the individual experience and facilitate lively interaction. No grades are given; this experience is designed for learning, not evaluation; and participation satisfies the ABA’s MOCA® Simulation requirement. If you, your colleagues or your fellows are looking for a simulation course for the recertification in anesthesiology, please join us to practice and review challenging cases in a realistic, friendly and pediatric-oriented environment.