![]() However, to be an accurate measure, it should be used in a controlled, reproducible environment with supervision from a medical professional who can intervene when a mistake is made and the results should be compared to norms of a healthy peer group. Since its inception more than 80 years ago, numerous publications have used this outcome measure, which is generally accepted as a good metric for executive function. Importantly, there is also a practice test that allows the assessor to confirm that the patient understands the instructions. For example, the Trail Making Test (TMT) component of the MoCA in its full form, consists of 25 targets and the total time to completion is the outcome measure. The MoCA screener is an example of a series of truncated neuropsychological tests the tests may resemble the actual tests that they are derived from, but they are not the same. Screeners such as the MoCA and MMSE are based on truncated versions of neuropsychological tests However, they are not designed to be more than this and are often found lacking when neurologists need more details about the cognitive state of their patient but don’t have access to a full neuropsychological assessment within a reasonable timeframe. In fact, 77% of neurologists still use standard standalone screeners to assess cognition in their patients.1 After all, paper screeners are quick, simple to administer, and easy to score and interpret. ![]() ![]() While a neurologist may prefer one screener over another, most neurologists agree on the usefulness of these instruments for screening a patient’s cognition. The Montreal Cognitive Assessment (MoCA) and the Mini-Mental State Examination (MMSE) are well known instruments that neurologists often utilize as part of a larger neurological examination. However, there is a tendency to use the results to derive deeper insights about cognition, a use for which these tests may not be adequate Neurologists often screen patients for cognitive impairment with the MoCA or MMSE.
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