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Simulation and Interprofessional Education Center

Contact the Simulation and Interprofessional Education Center

Our goal is to find the best and most efficient ways to fit skill and simulation-based training in UMMC educational programs. We need your ideas, suggestions and help! Let us know how we may improve:

  • Areas/methods of training
  • Supporting your training program's needs
  • Our organization
  • Availability/accessibility/visibility
  • Other areas

Simulation Session Request Form



* = Required Fields

Faculty

Full Name:* 
Email Address:* 
Department(s)
Lead faculty
Additional faculty/educators

Learners

Types of learners (check as many as applies)*







 
Other type of learner
Level of learners* 
Number of participants* 

Education session

Proposed session dates
Learning objectives/educational rationale (e.g. learn to intubate, teamwork in OR crisis)* 
Total # of sessions
Course structure*


 
Other Course Structure
Simulation environment

Other simulation environment
Research & evaluation


Potential for research description
Other research & evaluation
Funding (if applicable)