Modified  and  prepared  for  The  Teaching  Course  NYC  2015  Scenario  template  adapted  from  original  by  Jesse  Spurr  and  Luke  Wainwright  

 Creative  Commons  Non-­‐Commercial  Attribution  Share-­‐Alike  

 Report  Prepared  For    Type  of  Simulation    Location     Date:    Scenario  Name      Learning  Objectives    

     

Scenario  Overview    

Additional  information      

Participants    

Faculty    

Simulation  Co-­‐ordinator    Expected  care    

Issues  identified  in  debrief        

Safety:                  Performance:                  Communication:                  Knowledge:                    

Modified  and  prepared  for  The  Teaching  Course  NYC  2015  Scenario  template  adapted  from  original  by  Jesse  Spurr  and  Luke  Wainwright  

 Creative  Commons  Non-­‐Commercial  Attribution  Share-­‐Alike  

Faculty  Reflection   Overall  comments:            Strengths:                  Weaknesses:                Opportunities:                  Threats: