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Schedule a Simulation

This form must be completed at least 90 days prior to implementation of a new simulation course. Once submitted, a simulation center team member will reach out to you to set up a planning meeting.

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Is this a conference? × Error: A field is missing data or special characters were used. Please correct.
Learner Type

















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×Please enter a date in the correct format (MM/DD/YYYY)
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What audio visual support is needed?




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Does a national accrediting board provide these training methods? × Error: A field is missing data or special characters were used. Please correct.
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Will there be an assessment? × Error: A field is missing data or special characters were used. Please correct.
Will SP evaluate learners? × Error: A field is missing data or special characters were used. Please correct.
Will SP provide feedback? × Error: A field is missing data or special characters were used. Please correct.

Terms and conditions

I understand that by selecting this box, I will ensure UTSW Simulation Center staff have appropriate case scenarios, agendas, number of learners and/or changes to the planned curriculum at least 30 business days before my scheduled event. Event is subject to cancellation per discretion of Simulation Center director upon failure to comply.


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Consent to share your information

I understand that by submitting this form, my information will be used to contact me regarding my interest in the UT Southwestern Simulation Program.


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Activity Director Attestation for Scholarly Work

The Sim Center encourages Activity Directors to pursue scholarly work based on their simulation activities to disseminate new science and innovation to others.

By signing this attestation, I understand the requirement to include the Sim Center Acknowledgement Statement (below) on all presentations and publications related to my activities in the Sim Center. Further, I attest that I will provide the Sim Center Director, Dr. Daniel Scott, with a copy of all resulting publications at the time they become available online.


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Simulation Center Acknowledgement Statement

The UT Southwestern Simulation Center Governance Committee requires that this statement is included in all presentations and manuscripts that involve scholarly activity work that was performed in the Simulation Center or supported by Simulation Center personnel, data, or physical resources.