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The Ohio State University Wexner Medical Center
OSUCCC - James
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Clinical Skills Center

School of Health and Rehabilitation Sciences
School of Biomedical Science

About
Schedule Request:
Procedures
Schedule Request:
SPs/Exam Rooms
Students
- USMLE Step 2
  CS Information
- Practice Step
  2 CS sessions
Faculty
- USMLE Step 2
  CS Information
- Assessment Form
Standardized
Patients
Public Eye
- Visitors of the
  Clinical Skills Center
Simulators
Forms & Links
- Laerdals'
  SimMOM
- Simulator Purchase
  Request Form
Contact

Clinical Skills Center > Forms & Links > Laerdals' SimMOM

Laerdals' SimMOM
Simulator Purchase Request Form

SimMOM Survey

Page Content

Human Patient Birthing Simulator

To assist us in evaluating equipment that would enhance our health sciences education programs, we would appreciate your feedback on the usefulness and realistic quality of this simulator. Please complete this form using the following scale:

1 = Strongly Disagree; 2 = Disagree; 3 = Neutral; 4 = Agree; 5 = Strongly Agree

What is your department/specialty (name is optional)

What_x0020_is_x0020_your_x0020_d

Laerdals' SimMOM *

You must specify a value for this required field.

Laerdals' SimMOM

	SD		N		SA
	1	2	3	4	5
The simulator accurately portrays the procedures/techniques.
The simulator appears easy to use (set-up and operate).
Practice with the simulator provides useful feedback to the trainee.
The simulator provides practice on multiple procedures/techniques.
The simulator would be useful in nursing training.
The simulator would be useful in residency/fellowship training.
The simulator would be useful in medical student training.
The simulator would enhance trainee confidence in the procedures.
The simulator provides realistic practice opportunities.
The simulator will add to my department’s current educational process.
This simulator is worth considering for purchase for the Skills Center.

Please provide any comments/thoughts. Thank you.

Please_x0020_provide_x0020_any_x

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