Simulation Center Billing and Scheduling:

PLEASE FILL IN ALL REQUIRED FIELDS *Date and Duration of Session Contact Info:   *Name of person requesting reservation Name of faculty member *Phone number *E-mail address (*Required Fields)   Department Affliation Primary User Group: (Faculty/Student/Resident/Fellow) Number of Users Type of Session/Skill Level of Users: Faculty-led instruction        (Students with trained faculty/instructor).        Faculty has to be present Independent Practice        (for those who have used facilities or have        completed a training session in advance). KeyCard Access into SimCenter: Yes   No Equipment Required Hystero Trainer Lap SIM Lap Mentor Uro Mentor Endoscopy Simulator Video MAC StandAlone Box Trainers Human Patient Simulator** PediaSIM** SimMAN Birthing Simulator (Noelle) and Baby HAL Code Blue Baby GeoWall Projection System GE Anesthesia Machine Audio Visual Equipment/Overhead LCD Vascular Interventional Simulator Trauma Man **We however have only one driving rack, so either the PED or the ADULT can be used at a time. Support Required: Technical supervision Instructional support/development Additional room Additional Setup and Miscellaneous: (Tables and chairs, early set-up, user bringing other equipment)