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Reserve Simulation

iCELS works with each client, customer, faculty and learner to create the highest fidelity simulation event to meet your educational goals & objectives. Please complete the online form below to register your request of a customized simulation session with iCELS.

An iCELS team member will contact you within two business days of receiving the request. If you need immediate assistance, please email: icels@umassmed.edu

Our goal is to provide you with optimized services. To help us ensure your event is a success, please read and consider the following guidelines:

Requests for new simulation activities should be received at least 6 weeks prior to training dates.
All scenario and case information, requests for Standardized Patients, as well as equipment and supply needs should be received no less than 4 weeks prior to the training.
New cases and scenario development require a minimum of 3 months lead time to plan, build, prep, pilot and finalize in advance of implementation with learners.
Any requests for additional staffing from iCELS to support the training on the day of the session should be requested at least 2 weeks prior to the training.

Please note: Any requests submitted less than 2 weeks in advance may not be able to be accommodated. Activities beyond regular business hours are available upon request and subject to approval. The facilities remain accessible, however, a designated staff/faculty member or approved individual from iCELS must be present during activities scheduled outside of regular business hours. Access to the site after 6:00 p.m. would require the use of an authorized university identification card.

After the initial contact, our team will suggest a follow-up meeting to discuss details of your request.

Simulation Program Request Form

Course/Event Name

Last Name

First Name

Title

Department/Division/Organization Name

Phone

E-mail

Event Date

(1)Alternate Date

Additional Dates (list)

Preferred Start Time

Duration of Event

Describe the Simulation Setup & Activities

Will you need to create scenarios?

Number of Learners

Are you interested in offering CME Credits? Please mark Yes if you would like a consultation with CME - Additional costs apply for CME credits; additional information is required for approval. No Unsure Yes - UMass Chan/Memorial Health Only Yes - External & UMass

Day of Event Contact

Day of Event Contact - Mobile Phone

Policy Acknowledgement By checking this box, as the contact person for the event, I attest that I have read the iCELS policies and reservation guidelines on this page, including the policy on safety and infection control (link below). I also agree to advise faculty and learners who will be attending the event of the policy, and inform them that all activities in iCELS are subject to audio and video recording for educational purposes and quality assurance.

The iCELS policy regarding safety and infection control.