USAFP 2008 Annual Meeting & Exposition

MEDICAL SIMULATION IN THE 21st CENTURY

Learning Needs Assessment

Name:

Thank you for interest in the upcoming seminar on Medical Simulation in the 21st Century. In order to understand your interests, learning needs, and to make this a valuable experience, we invite you to complete the following needs assessment.

This seminar will be an intense hands-on experience. You will have the opportunity to find out how you can use simulation in your medical environment to improve care. You will learn the basics of running a simulation, the skill of debriefing, and be afforded the opportunity to handle the latest simulation equipment. We need your enthusiastic participation now, and in the seminar. It will be fun, and at the end of it, we'll be asking for your feedback!

Thank you for your time, and we look forward to seeing you in Portland.

1. What is your current job position/title?

2. What experience do you have with Medical Simulation?

3. Have you ever worked with the SIM MAN computer interface?:

Yes

No

4. Please choose 5 medical simulation topics that most interest you:

Adult Codes

Arthrocentesis

Chest Tube

Colonoscopy

Cricothyrotomy

IV Placement

Lumbar Puncture

Newborn Resuscitation

Pediatric Codes

OB - Perineal Repairs

OB - Post-partum Hemorrhage

OB - Shoulder Dystocia

OB - Ultrasound

OB - Vacuum Assist

Subclavian Line

5. What do you most want to learn or discuss regarding Medical Simulation?

6. Any other comments, concerns, or interests for this topic?