1. Why Accreditation? Simulation Centre / Program
Identify strengths and weaknesses
Identify quality improvement projects
Use report to garner support and possible increased resources from your institution
Contributes to identity, sense of team and pride

2. Pre-Application Process
Review the application
Assign Roles
How to collect data
Evaluation component of educational programs (faculty, learners, staff, equipment)
Which educational activities to highlight
Partners

3. Plan & Prepare the Application
Data collection
Decide on who will be involved and the scope of their involvement
Establish timelines
Writers
Editors
Survey Visit

4. Session Form Needs Assessment Level of learners Objectives Space
Equipment
Evaluation
Scholarly Component

5. Name (please print name)
Internal Medicine Residents – Central Line Insertion SIGN-IN February 5th, H00 – 12H00
Name (please print name)
Signature
INSTRUCTORS/STAFF:
1. Dr. A
2. Dr. B
RESIDENTS:
1. A. Smith
2. T. Charbonneau

6. Clerkship – General Surgery SIGN-IN March 6th, 2013 13H00 – 17H00
Name (please print name)
Signature
INSTRUCTORS/STAFF:
1. Dr. C 2.
STUDENTS: 1. 3. 4. 5. 6.

7. NUR 535 – Interview Skills SIGN-IN February 15th, 2013 08H00 – 16H00
Name (please print name)
Signature
INSTRUCTORS/STAFF:
1. M. Smith 2. 3.
PARTICIPANTS: 1. 4. 5. 6.

8. # Instructors / Faculty / Organizers
DATE
PROGRAM
COURSE/EVENT
ACS CODE
INSTRUCTOR NAME
HOURS
PROCEDURES
#SP
# LEARNER VISITS
# Instructors / Faculty / Organizers
# of Non-Learners (Candidates, Sales Reps, Meetings)
17-JAN-2013
CPD
Difficult Airway Workshop I
Dr. D
4.25
Hifi 4 2
5-FEB-2013
Residents
Internal Med – Central Line Insertion R
Dr. A 5
15-FEB-2013
Nursing – Undergraduate
NUR 535 –Interview Skills N
M. Smith 8
SP scenarios 6 1
6-MAR-2013
Medical Students
Core Clerkship – General Surgery M
Dr. C
Technical skills

9. Learner Groups Served by the AEI
Table for Criterion 1.1
Learner Groups Served by the AEI
What is the Percentage of Use for Each Learner Group Over the Last 3 Years?
Practicing Surgeons
Yes
□ No
0.58%
Physicians
3.69%
Residents/Surgery Residents
26.10%
Medical Students
32%
Allied Health Professionals
13%
Nurses
17.42%
Others(Please list):
Interdisciplinary 5.37%
Industry and Special Events 1.85%

10. Table 1
Number of Activities
Number of Learners
Percentage of Learners
Learner Types
Physicians (CME activities) 54
1005
10.05%
Residents
481
2989
29.90%
Allied Health Professionals
137
1667
16.68%
Medical Students
397
571
5.71%
Nursing
220
1890
18.91%
Others
161
1874
18.75%
Totals
1450
9996
100.00%

11. Supporting Documentation
Staffing
Faculty
Educational Resources
Financial Resources
Evaluation: educational content, learners, faculty, program

12. Pediatric Emergency - CRM Interdisciplinary
EVALUATION FORM
March 5th, 2013
Agree Completely
Agree
Uncertain
Disagree
Completely
The objectives for this session were clear to me.
The scenarios were realistic.
The stations were well set up.
The simulators were useful for practicing.
During the debriefing session, I received clear, concise and pertinent information.
The debriefing session was conducted with professionalism, was respectful for the participant and constructive.
The content presented was relevant to my emergency practice.
I can, now or in the nearest future, use correctly what I learned today.
I am better prepared to address a similar scenario in the ER
Overall, this was a positive experience

13. CPD – Ultrasound Course March 14th, 2013 EVALUATION FORM
Please circle the appropriate response:
Agree Completely
Agree
Uncertain
Disagree
Completely
The objectives of the session were made clear 5 4 3 2 1
The online videos were valuable
There was enough time for questions
The instructors were dynamic and knowledgeable
I would recommend this course to my colleagues
I am now comfortable performing this procedure on patients after taking this course
I had enough time to practice

14. TASK TRAINERS 1.The task-trainers for lumbar puncture were realistic
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
1.The task-trainers for lumbar puncture were realistic
2. The task-trainers for knee arthrocentesis were realistic
3. The task-trainers for shoulder arthrocentesis were realistic
4. The staff from the Medical were available and helpful
5. The facilities at the Medical were appropriate for this session

15. Station 1: Radiation Scenario
Station 2: Cardiac Arrest PE
Station 2: Cardiac Arrest PE
Station 2: Cardiac Arrest PE
Station 2: Cardiac Arrest PE
Station 2: Cardiac Arrest PE
Station 2: Cardiac
Medical Simulation Centre
Pulmonary Embolism Sim Day - EVALUATION
March 21st, 2012
Station 1: Radiation Scenario
Agree Completely
Agree
Uncertain
Disagree
Completely
The scenario was interesting and realistic. 5 4 3 2 1
The role of the standardized patient enhanced the learning experience.
During the debriefing session, I received clear, concise and pertinent information.
The debriefing session was conducted with professionalism, was respectful for the participant and constructive.
The content presented was relevant to my emergency practice.
I can, now or in the nearest future, use correctly what I learned today.
Station 2 : Cardiac Arrest
Agree Completely
Agree
Uncertain
Disagree
Completely
The scenario was interesting and realistic. 5 4 3 2 1
During the debriefing session, I received clear, concise and pertinent information.
The debriefing session was conducted with professionalism, was respectful for the participant and constructive.
The content presented was relevant to my emergency practice.
I can, now or in the nearest future, use correctly what I learned today.

16. Survey Visit
Meeting with Stakeholders Meeting with Faculty (Multidisciplinary) Meeting with Learners (Multidisciplinary)

17. Q & A