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Session form

Booking sessions at the Medical Simulation Centre is a two-step process. In order to facilitate the planning of your learning activity, please complete the following Session Form. Simulation Staff will then review the information provided and contact you to confirm your booking. Please note that submitting this form does not guarantee a reservation.

Should you need to make any changes or corrections to the logistics for your session (i.e., date, time, number of participants, etc.)please submit a second Session form detailing the changes that you require. Please also include the word "Change" or "Correction" in the Program Name field.

Contact Information
General Information
(e.g. Core Surgery RII, Nursing 331)
(Ex; Central Line Insertion Skills session; Communication Skills, Ethics OSCE)
Course Requirements
Needs assessment
(e.g. required training as part of residency, morbidity data points to a particular problem, poor communication present among team members)
Objectives
Specific statements which define what the learner will acquire e.g. at the end of a session, the learner will be able to insert a foley catheter
Course Material
(Example, on-line readings and references, and PowerPoint) (check all that apply)
Didactic Presentation at Centre
(Please supply a copy or WEB link)
(Example; A 15- minute PowerPoint presentation prior to practice session to review content provided on-line)
Assessment of Learner Performance
(Example; an on-line multiple choice exam to be handed in upon arrival, a checklist for communication or technical skills to be completed by tutors, peers or examners). (check all that apply)
Indicate the Rooms Required for this Session
Indicate the Resources/Equipment Required for this Session
Additional Requirements
Program / Session Evaluation
A Centre evaluation form will be provided.