□ High-Fidelity Manikins □ Task Trainers □ Surgical Simulators □ Micro Simulation/Avatars Evaluation Tools/Metrics/Simulation Scenarios (Check all that apply): □ Previously Developed □ Editing □ Needs To Be Created *If you selected more than one box , please explain: □ □ Video/Audio Recording: Yes No □ □ (VOD) Access: Yes No □ Faculty ONLY □ Faculty and Learners □ □ Request Feedback Summary Report: Yes No Once you have filled out this Needs Assessment please return it to the Mt. Sinai Skills and Simulation Center by Email, Fax or Postal Mail. Email: Fax: (216) 368-2006 Postal Mail: Mt. Sinai Skills and Simulation Center Case Western Reserve University School of Medicine 1551 East Street Cleveland, OH 44106 If you have any questions please feel free to call the Mt. Skills and Simulation Center office at: (216) 368-0064. You!
□ High-Fidelity Manikins □ Task Trainers □ Surgical Simulators □ Micro Simulation/Avatars Evaluation Tools/Metrics/Simulation Scenarios (Check all that apply): □ Previously Developed □ Editing □ Needs To Be Created *If you selected more than one box , please explain: Video/Audio Recording: □ Yes □ No (VOD) Access: □ Yes □ No □ Faculty ONLY □ Faculty and Learners Request Feedback Summary Report: □ Yes □ No Once you have filled out this Needs Assessment please return it to the Mt. Sinai Skills and Simulation Center by Email, Fax or Postal Mail. Email: Fax: (216) 368-2006 Postal Mail: Mt. Sinai Skills and Simulation Center Case Western Reserve University School of Medicine 1551 East Street Cleveland, OH 44106 If you have any questions please feel free to call the Mt. Skills and Simulation Center office at: (216) 368-0064. You!