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Combined CIMIT Consortium/Boston Simulation Community Meeting March 10th

CBSC

 

Boston Simulation Community
and
CIMIT Boston Simulation Consortium
Quarterly Meeting

 

Please join us on March 10, 2015 from 5:30-7:00PM for the combined Boston Simulation Community – CIMIT Boston Simulation Consortium Quarterly Meeting hosted at the Center for Integration of Medicine & Innovative Technology (CIMIT) in Boston, MA and on the Web by James Gordon, MD, Chief of the Massachusetts General Hospital Learning Laboratory.

At this meeting, updates will be provided on simulation consortium activities over the quarter and upcoming initiatives. There will also be an opportunity to hear from the final CBSC awardee: Yohan Song MD, Parotidectomy Surgical Simulator, Stanford University.

March 10 Meeting Agenda and Location

CIMIT Boston Simulation Consortium
CIMIT, 7th floor, Room 701
165 Cambridge Street, Boston, MA.

Meeting Agenda

  1. Announcements and General Updates
  2. Center for Medical Simulation Update
  3. CRICO & Harvard Medical School/Academy Interest Group Update
  4. Consortium Hospital/University Initiatives and Updates
  5. General Discussion
  6. CIMIT Update: Simulation Innovation Competition Awards
              Dr. Yohan Song, “Parotidectomy Surgical Simulator,” Standford University

To join the online meeting from your computer, tablet or smartphone:

Go to https://global.gotomeeting.com/join/387134077

To join the audio conference only:

US (Long distance): +1 (224) 501-3217

Spain (Long distance): +34 955 32 0845

Access code: 387-134-077

More phone numbers: https://global.gotomeeting.com/387134077/numbersdisplay.html

For assistance contact Penny Carleton at:

pcarleton@partners.org

1-617-605-8579 (cell)

 

Upcoming Boston Simulation Community Research and Education Meetings

  • April 14, 2015: @ STRATUS Center for Medical Simulation, Brigham and Women’s Hospital – “Simulated Debriefing Training: Ideas and Thoughts.” Presenters:
    • Usamah Alzoraigi, MD; Simulation Fellow STRATUS & CMS; Anesthesia Consultant KFMC, Riyadh, KSA
    • Shadi Almoziny, MD; Simulation Fellow STRATUS; Emergency Associate Consultant KFMC, Riyadh, KSA
    • Abdullah Almarshed, MD; Simulation Fellow STRATUS; Emergency Associate Consultant KFMC, Riyadh, KSA
  • May 19, 2015 (3rd Tuesday): Location TBA, Topic TBA
  • June 09, 2015: Location TBA, Topic TBA
  • July 2015: No meeting, summer hiatus
  • August 2015: No meeting, summer hiatus

 

About Boston Simulation Community Research and Education Meetings

The meetings provide a friendly and informal venue for simulation educators and researchers to present work-in-progress, problem solve and share best practices, acquaint each other with relevant ideas from other disciplines and connect with others. The meetings are generally (but not always) held on the second Tuesday of each month.

Copyright © 2015 Center for Medical Simulation, All rights reserved.

 

Join the Innovative Learning Network Today For A Free Webinar On 3D Printing

ILN_Logo01eb0e

Join the Innovative Learning Network today, January 27th, for Tech Tuesday when they talk about 3D printing, the industry, the basics of technology and specific health care use cases.   Details below…

Tech Tuesday

TAGS / 

3D_Printing, Additive_Manufacturing, Disrupt_Healthcare, 
Print_me_a_liver, Subtractive_Manufacturing, 3D_Systems, Gartner_Hype_Cycle
 
WHO / 

Kathryn E. Hautanen, MS, SM, MBA
Business Innovation Manager
Innovation and Advanced Technology
Digital Technologies and Operations 
Kaiser Permanente

WHAT /

2014 marks the 30th anniversary of the first 3D printing patent. Widely used in product design and manufacturing for a number of years, 3D printing is only recently moving into the health care realm. Recently 3D printing enabled the successful separation of conjoined twins by letting the surgical planning team print a map of the vascular structure before a separation surgery. In addition, custom prosthetics can be created quickly and inexpensively. Eventually, new livers will be printed – completely disrupting the existing organ donor supply chain. 

This talk will provide an overview to the 3D printing industry, the basics of the technology and specific health care use cases.

 
WHERE /
WebEx: http://kponline.webex.com
Password: technology2
Meeting # 572 195 580
 
WHEN / 
Tuesday, Jan. 27th @ 9 AM Pacific / 10 AM Mountain / 11 Central / 12 Eastern

CMS Seeking Assistant Director of Affiliate Programs

cms-logo-200x200

 

Assistant Director/Educator
Center for Medical Simulation Affiliate Programs
Center for Medical Simulation, 100 First Ave., Suite 400, Boston, MA 02129-2011

The Department of Anesthesia, Critical Care and Pain Medicine at the Massachusetts General Hospital seeks to hire an Assistant Director/Educator for activities that support the efforts of the Center for Medical Simulation (CMS) in enhancing the success of its affiliated simulation programs. The duties include helping develop CMS internal program capabilities, mentoring faculty and staff, developing curricula and content and teaching in courses for clinicians and instructors, and to a limited extent conducting and supporting educational research.

This is a promotion track faculty position at the Harvard Medical School, starting at the Instructor or Assistant Professor level. Qualified candidates must have experience in teaching healthcare educators of various disciplines in the techniques of simulation and have experience in education involving high-realism and other forms of simulation. Because CMS conducts itself on a world stage, the candidate should have experience with international simulation and associated professional societies. Requirements include: a PhD in education or a relevant behavioral science; clinical experience is helpful but not required; 5 or more years experience in an inter-professional simulation educational environment; 3 or more years management and leadership experience. Must be able to travel nationally and internationally up to 30%.

CMS is a collaborative effort of the hospitals affiliated with Harvard Medical School. CMS faculty are employed via the Massachusetts General Physicians’ Organization. The Center provides a broad range of educational and training programs to physicians and other health care providers emphasizing training in management of critical events in patient care. Using sophisticated simulation tools, CMS develops educational programs to implement its mission of improving patient safety by training healthcare providers without subjecting patients to risk. The Massachusetts General Physicians Organization and the Center for Medical Simulation are equal opportunity employers. Women and minorities are encouraged to apply.

Individuals interested in being considered for this position should provide a cover letter specifying their qualifications and a CV via email to Gary Rossi, MBA, C.O.O. at grossi1@partners.org. Applications close February 22, 2015.

 

Copyright © 2015 Center for Medical Simulation, All rights reserved.

CMS Announces 2015 Boston, MA USA Simulation Instructor Courses

The Center for Medical Simulation (CMS) is pleased to announce its 2015 Institute for Medical Simulation Comprehensive Simulation Instructor Course schedule in Boston. Recognized as a world leader in simulation education, CMS offers courses at its Boston location and at host sites throughout the United States and the world.

2015 /Boston  – Comprehensive Simulation Instructor Course Dates:

  • March 9 – 13, 2015
  • March 30 – April 3, 2015
  • April 27 – May 1, 2015
  • August 17 – 21, 2015
  • September 14 – 18, 2015
  • October 5 – 9, 2015
  • November 2 – 6, 2015

Comprehensive Instructor Workshop: 5 days
Established in 2004 and updated through the years, this is the Institute’s most comprehensive and immersive program. Attendees represent a wide range of experience, disciplines and specialties, but all share one common goal: to become outstanding educational leaders or directors of a current or prospective simulation program. With experiential education being the keystone of simulation, the course is a mix of theory, practice and feedback so that students develop a strong and comprehensive understanding of how to most effectively use simulation within their education programs. Widely respected, dedicated educators with years of simulation experience lead the course with one main goal in mind: Transform every IMS student to be an outstanding educator. 

Course topics include:

  • Patient simulation: history and context
  • Operating a simulation program
  • Creating a challenging and safe learning environment
  • Teaching clinical thinking and skills
    Teaching teamwork and crisis resource management
  • Developing debriefing skills
  • Preparing, building, conducting, and debriefing realistic simulation scenarios
  • Avoiding simulation pitfalls and ineffective debriefing techniques
  • Introducing behavioral and educational research paradigms
  • Advancing simulation within one’s institution

Click here to apply for this course  

For more information contact Gary M. Rossi, COO at grossi@harvardmedsim.org or  call 617.726.3041

The Institute for Medical Simulation (IMS), evolved from research developed through a collaborative project between the Center for Medical Simulation and the Harvard-MIT Division of Health Sciences and Technology funded by a grant from the Josiah Macy, Jr. Foundation. CMS’ IMS Program offers courses for simulation leaders, educators and researchers who want to develop and maintain high-quality healthcare simulation programs within their organizations.

 

 

 

CMS’ Executive Director Jeffrey Cooper, PhD To Receive J.S. Gravenstein Award from Society for Technology in Anesthesia

Society of Technology

 

 

 

 

Jeffrey Cooper, PhDThe Society for Technology in Anesthesia (STA), under which the Society for Simulation in Healthcare first formed, is honoring CMS’ Executive Director Jeff Cooper with the 2015 J.S. Graventstein award.  The award is named for J. S. “Nik” Gravenstein (1925-2009), a founding member and former president of the STA. For over thirty years, Dr. Gravenstein was a driving force in advancing anesthesia technology, patient simulation and anesthesia patient safety. Among many contributions to anesthesia technology and safety, Dr. Gravenstein was one of the pioneers in medical simulation. It was under his leadership at the University of Florida, Gainesville, that the precursor to what became the METI, now CAE, HPS was created. Dr.  Cooper, who worked closely with Dr. Gravenstein in the Anesthesia Patient Safety Foundation, is widely known in the simulation world for having founded the world renowned Center for Medical Simulation in Boston (CMS) and numerous other simulation educational innovations. Beyond his simulation leadership, Dr. Cooper is one of the world’s pioneers in patient safety, having led the earliest studies of medical error beginning in the mid-1970’s.  Dr. Cooper also led a team that developed a prototype of the one of the world’s first microprocessor based medical devices, the Boston Anesthesia System, the principles on which modern day anesthesia workstations are founded. 

The award will be conferred on January 9 at STA’s annual meeting in Phoenix, Arizona.

Congratulations Jeff from everyone here at CMS!

CMS Faculty To Present At The 15th Annual IMSH Meeting In New Orleans, LA.

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Center for Medical Simulation (CMS) faculty will be heavily involved in the upcoming 15th Annual International Meeting on Simulation in Healthcare (IMSH) in New Orleans, Louisiana where they’ll be holding workshops, participating on expert panels and presenting research abstracts. A list of these activities follows with the CMS faculty members names highlighted in bold.

CMS Faculty Presentations at the 15th Annual International Meeting on Simulation in Healthcare: January 10th-14th, 2015 New Orleans, LA.

WORKSHOPS & PANELS

Giving Feedback When You’re Not at Your Best: Reframing Strategies for Tough Situations
Pre-Conference Workshop
Saturday, January 10, 2015
01:00 pm – 05:00 pm
Speaker(s): Christine Park, MD; Rebecca D Minehart, M.D.; May Pian-Smith, MS, MD; Daniel Raemer, PhD; Pascal Scemama de Gialluly, MD, MBA; Marjorie Podraza Stiegler, MD

Nuts and Bolts for Building Your Simulation Program
Expert Panel
Monday, January 12, 2015
09:30 am – 11:30 am
Dimitrios Papanagnou, MD, MPH; Katherine Berg; Sharon Griswold, MD, MPH, CHSE; Jane Kim, MD; Janice C Palaganas, PhD, RN, NP; Jessica Pohlman, MPA, NREMT-P; Kevin Pohlman, CHSE, NREMT-P, CCEMT-P, FP-C; Katie L Walker, MBA, RN

Interprofessional Educational Courses and Curriculum Design
Expert Panel
Monday, January 12, 2015
09:30 am – 11:30 am
Jill S Sanko, MS, ARNP-BC, CHSE-A, PhDc; Sharon Decker, RN, PhD, ANEF, FAAN; Carol F. Durham, EdD, RN, ANEF, FAAN; Chad Epps, MD; Janice C Palaganas, PhD, RN, NP; Dawn M Schocken, MPH, PhDc

Debriefing as a Formative Assessment: Concepts and Practice Debriefing
Workshop
Monday, January 12, 2015
09:30 am – 11:30 am
Laura Rock, MD; Walter Eppich, MD, MEd; Jose M Maestre, MD, PhD; Kate Morse, PhD, ARNP-BC, CRNP, CCRN, CNE; Grace M. Ng, MS, CNM, RN, C-EFM; Janice C Palaganas, PhD, RN, NP; Jenny Rudolph, PhD; Robert Simon, Ed.D.; Toni Walzer, MD

Simulation in Healthcare Workshop for Authors
Workshop
Monday, January 12, 2015
09:30 am – 11:30 am
Mark W Scerbo, PhD; Jeffrey B Cooper, PhD; David Gaba, MD; Rose Hatala, MD, MSc; Judy LeFlore, PhD, RN, NNP-BC, CPNP-AC&PC, ANEF, FAAN; Dimitrios Stefanidis, MD, PhD, FACS

Can Feedback Be Improved?
Workshop
Monday, January 12, 2015
09:30 am – 11:30 am
Rebecca D Minehart, MD; Sara Goldhaber-Fiebert, MD; Andres Navedo, MD; Roy Phitayakorn, MD MHPE (MEd) FACS; May Pian-Smith, MS, MD; Daniel Raemer, PhD; Laura Rock, MD; Jenny Rudolph, PhD; Marjorie Podraza Stiegler,

Improving Debriefing Skills Through Peer Observation and Feedback
Workshop
Monday, January 12, 2015
3:30 pm-5:00 pm
Jose M Maestre, MD, PhD; Ignacio Del Moral, MD, PhD; Brenda L Natal, MD, MPH, BSN; Guillermo Ortiz, MD; Laura Rock, MD; Rodrigo Rubio, MD; Jenny Rudolph, PhD; Maria D Rudolph, MD

Debriefing Interprofessional Groups
Workshop
Monday, January 12, 2015
03:30 pm – 05:00 pm
Janice C Palaganas, PhD, RN, NP; Roxane Gardner, MD, MPH, DSc; Daniel Raemer, PhD; Jenny Rudolph, PhD; Robert Simon, EdD; Toni Walzer, MD

Strategies for Successful Co-debriefing for Interprofessional Simulation-based Education
Workshop
Tuesday January 13, 2015
09:30 am – 11:30 am
Adam Cheng, MD, FRCPC, FAAP; Wendy E Bissett, RN, CNE; Helen Catena, RN; Jonathan Duff, MD; Walter Eppich, MD, MEd; James Lewis Huffman, BSc, MD, FRCPC; Jose M Maestre, MD, PhD; Kate Morse, PhD, ARNP-BC,CRNP, CCRN, CNE; Janice C Palaganas, PhD, RN, NP; Traci Robinson, RN; Jenny Rudolph, PhD

Healthcare Simulation Assessment Tool Selection Template: A Field Guide to Meeting Your Curricular and Institutional Needs
Podium
Tuesday January 13, 2015
02:15 pm – 03:15 pm
Wendy Anson, PhD, CHSE; Janice C Palaganas, PhD, RN, NP

A Developmental Structure for Improving Debriefing
Workshop
Tuesday January 13, 2015
03:30 pm – 05:00 pm
Jenny Rudolph, PhD; Walter Eppich, MD, MEd; Michaela Kolbe, PhD; Rachel Onello, PhD(c), MS, RN, CNL; Daniel Raemer, PhD; Maria D Rudolph, MD; Robert Simon, EdD

Combining Simulation with Other Interactive Teaching Techniques: An
Innovative and Integrative Approach to Engaging Large Audiences

Workshop
Tuesday January 13, 2015
03:30 pm – 05:00 pm
May Pian-Smith, MS, MD; Jeffrey B Cooper, PhD; Christine L Mai, MD; Rebecca D Minehart, MD

Rethinking Difficult Debriefing Situations
Workshop
Wednesday January 14, 2015
08:00 am – 09:30 am
Walter Eppich, MD, MEd; Adam Cheng, MD, FRCPC, FAAP; James Lewis Huffman, BSc, MD, FRCPC; Michaela Kolbe, PhD; Laura Rock, MD; Jenny Rudolph, PhD

Improving Debriefing Skills Through Peer Observation and Feedback
Workshop
Wednesday January 14, 2015
08:00 am – 09:30 am
Grace M Ng, MS, CNM, RN, C-EFM; Michaela Kolbe, PhD; Bradley Morrison, PhD; Kate Morse, PhD, ARNP-BC,CRNP, CCRN, CNE; Janice C Palaganas, PhD, RN, NP; Laura Rock, MD; Jenny Rudolph, PhD; Robert Simon, EdD

Leadership in Healthcare Simulation in 2015: An Exploration of Current Leadership Trends and Lessons Learned from Successful Innovators
Expert Panel
Wednesday January 14, 2015
08:00 am – 09:30 am
Katie L Walker, MBA, RN; Pamela Andreatta, EdD, PhD; Jeffrey B Cooper, PhD; Ian E Curran, BSc, AKC, MBBS; Ignacio Del Moral, MD, PhD; Paul E Phrampus, MD; Michael Seropian, MD, FRCPC

RESEARCH ABSTRACTS

Research Abstracts to be Presented at the 15th Annual International Meeting on Simulation in Healthcare: January 10th-14th, 2015 New Orleans, LA.

Board #254 – Program Innovation A Perioperative Teamwork Instructor Training Program for Supporting Perioperative Teamwork Training (Submission #10164).
Walzer, Toni; Simon, Robert; Berry, William; Cooper, Jeffrey; de Moya, Marc; Dwyer, Kathy; Hemingway, Maureen; Kissane, Nicole; Nadelberg, Robert; Palaganas, Janice; Pawlowski, John; Phitayakorn, Roy; Raemer, Daniel; Rudolph, Jenny

Board #319 – Technology Innovation A Simulator for Open Surgery (Submission #8945)
Raemer, Daniel; Loan, Gregory; Ottensmeyer, Mark P

Board #320 – Technology Innovation A Model of an Expanding Neck Hematoma (Submission #9512)
Raemer, Daniel; Phitayakorn, Roy

CMS Faculty Author Articles in December Issue of Simulation in Healthcare

CMS faculty members  Jenny Rudolph, Dan Raemer, and Robert Simon were authors in two articles published  in the December issue of Simulation in Healthcare: The Journal of the Society of Simulation in Healthcare. Congratulations to Jenny, Dan and Robert and to Adam Cheng of KidSIM-ASPIRE Simulation Research Program/Alberta Children’s Hospital who was the lead author in one of the articles written with Dan Raemer.

Articles:

Establishing a Safe Container for Learning in Simulation: The Role of the Presimulation Briefing
Rudolph, Jenny W. PhD; Raemer, Daniel B. PhD; Simon, Robert EdD

Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare:
December 2014 – Volume 9 – Issue 6 – p 339-349
doi: 10.1097/SIH.0000000000000047

Author Information
From the Center for Medical Simulation (D.B.R., R.S., J.W.R.), Massachusetts General Hospital (D.B.R., R.S., J.W.R.), Harvard Medical School (D.B.R., R.S., J.W.R.), Boston, MA.

Abstract

In the absence of theoretical or empirical agreement on how to establish and maintain engagement in instructor-led health care simulation debriefings, we organize a set of promising practices we have identified in closely related fields and our own work. We argue that certain practices create a psychologically safe context for learning, a so-called safe container. Establishing a safe container, in turn, allows learners to engage actively in simulation plus debriefings despite possible disruptions to that engagement such as unrealistic aspects of the simulation, potential threats to their professional identity, or frank discussion of mistakes. Establishing a psychologically safe context includes the practices of (1) clarifying expectations, (2) establishing a “fiction contract” with participants, (3) attending to logistic details, and (4) declaring and enacting a commitment to respecting learners and concern for their psychological safety. As instructors collaborate with learners to perform these practices, consistency between what instructors say and do may also impact learners’ engagement.

Reprints: Jenny W. Rudolph, PhD, 100 1st Ave, Suite 400, Boston, MA 02129 (e-mail: JWRudolph@mgh.harvard.edu).

 

Is Clinical Trial Registration for Simulation-Based Research Necessary?
Cheng, Adam MD, FRCPC; Raemer, Daniel B. PhD

Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare:
December 2014 – Volume 9 – Issue 6 – p 350-352
doi: 10.1097/SIH.0000000000000064

Author Information
From the KidSIM-ASPIRE Simulation Research Program (A.C.), Department of Pediatrics, Alberta Children’s Hospital, University of Calgary, Calgary, Alberta, Canada; and Center for Medical Simulation (D.B.R.), Department of Anaesthesia, Critical Care, and Pain Medicine (D.B.R.), Massachusetts General Hospital; and Department of Anaesthesia (D.B.R.), Harvard Medical School, Boston, MA.

Abstract

 The International Committee of Medical Journal Editors requires that all clinical trials be prospectively registered before being considered for publication in their member journals. Clinical trial registries are Web-based databases of clinical trials, providing researchers, journal editors, and reviewers detailed study information to help inform trial results. What is unclear is whether clinical trial registration is required for simulation-based studies, where typically health care providers are the subjects and where the outcomes may be provider based or patient based. In this article, we describe the background and reasoning behind clinical trial registration and discuss whether simulation-based studies should be registered as a prerequisite to publication.

Reprints: Adam Cheng, MD, FRCPC, FAAP, KidSIM-ASPIRE Simulation Research Program, Department of Pediatrics, Alberta Children’s Hospital, University of Calgary, 2888 Shaganappi Trail NW, Calgary, Alberta, Canada T3B 6A8 (e-mail: chenger@me.com).

CMS Featured in MEdSim Magazine

MEdSim

The Center for Medical Simulation (CMS) recently celebrated it’s 21st Anniversary of “Using simulation to improve safety, quality and education in healthcare”. In honor of this milestone, MEdSim Magazine Group Editor, Marty Kauchak, interviewed CMS’ Executive Director, Jeffrey Cooper, PhD. The interview touched upon CMS’ history, its programs and its goals for the future as CMS enters its third decade.

Click here to read the article / MEdSim Magazine – Issue (5) 2014.

CMS’ Janice Palaganas Keynote Speaker at SIMEC 2014

headshot-janice-palaganasCMS’ Janice Palaganas, RN, PhD was one of the invited Keynote Speakers for the third Simulation in Medical Education Conference (SIMEC 2014) held from November 13-15 at Hacettepe University Ankara, Turkey where she presented the Keynote Address, “We need to talk. Simulation based Interprofessional Education.” Dr. Palaganas also presented two workshops at the conference, “In-situ Simulation: Things That Can Keep You Safe While Keeping Patients Safe” and “How to Maintain the Success of Your Simulation Center: Policies, Procedures, and Project Pull”.

CMS Hosts November Boston Simulation Community Meeting

Boston Simulation Community
Monthly Meeting
November 20, 2014 5:30-7:00PM

Please join us Thursday, November 20, 2014 5:30-7:00PM for the Boston Simulation Community Meeting hosted at the Center for Medical Simulation (CMS). CMS is located within the historic Charlestown Navy Yard at 100 First Avenue, Suite 400, Boston, MA 02129. Click here for directions.

Alan Merry, MDAt this meeting, we will learn about “Lifebox, the WHO Surgical Checklist, and Surgical Site Infection Reduction—implications for Simulation.” Presenter: Alan Merry, University of Auckland, Department of Anesthesia. Lifebox (http://www.lifebox.org) is attempting to address poor surgical care in low income countries by a combination of distributing fit-for-purpose oximeters and education, including education in the World Health Organization Checklist. Lifebox attempts to address the global crisis in surgical safety with a focus on low income countries has applications for high income countries as well.

Dr. Alan Merry practices anesthesia and chronic pain management at Auckland City Hospital, and is Head of the School of Medicine at the University of Auckland. He is a Councillor of the Australian and New Zealand College of Anesthetists, Deputy Treasurer of the World Federation of Societies of Anesthesiologists and Chair of the Board of the New Zealand Health Quality and Safety Commission. He is on the Board of Lifebox, an international charitable initiative to improve standards of surgery and anesthesia in low income areas of the world. His three books, 15 book chapters and over 120 papers in peer reviewed journals reflect interests in human factors, patient safety and simulation. He established the spinal cord stimulation service within the Auckland Regional Pain Service, and has a particular interest in using spinal cord stimulation to manage chronic intractable angina pectoris.

Upcoming Boston Simulation Community Research and Education Meetings

  • December 16, 2014 (third Tuesday): Location TBA – Preview and peer feedback on International Meeting on Simulation in Healthcare presentations.

 

About The Boston Simulation Community Research and Education Meetings

The meetings provide a friendly and informal venue for simulation educators and researchers to present work-in-progress, problem solve and share best practices, acquaint each other with relevant ideas from other disciplines and connect with others. We generally (but not always) meet the 2nd Tuesday of each month. Please join us!