American Society of Anesthesiologists (ASA) MOCA simulation courses are high-caliber, immersive educational experiences. Among anesthesiologists who attended MOCA simulation courses, 98% found the experience was relevant to their clinical practice, and 94% reported the experience was likely to promote change in their clinical practice (McIvor et al. 2012). There are examples of practice improvements prompted by MOCA simulation course participation. ASA simulation courses provide anesthesiologists and their patients with a powerful advantage, as simulation education demonstrates a direct upgrade in patient safety and quality of care.