Program and Center Accreditation



Mission and governance

1. There exists a clear and publicly stated mission that specifically addresses the intent and functions of the simulation program

Organization and management

1. There is an organizing framework that provides adequate resources to support the mission of the program
2. There is a strategic plan designed to accomplish the mission of the program
3. There are written policies and procedures to assure the program provides high-quality services and meets its obligations and commitments

Facilities, application, and technology

1. There is an appropriate variety and level of technology and applications to support/achieve the activities of the program
2. The environment is conducive to accomplish its mission and activities

Evaluation and improvement

1. The program has a method to evaluate its overall program and services areas, as well as the individual educational, assessment, and/or research activities in a manner that provides feedback for continued improvement


1. All activities, communications, and relationships demonstrate a commitment to the highest ethical standards

Expanding the field

1. The program demonstrates commitment to advocate for patients, simulation education, and contributes to the field of simulation.

Used with permission

Table 48.2
Brief summary of SSH simulation accreditation program characteristics [5]

Simulation areas

Personnel criteria

Curricular requirements



Instructors and staff are qualified by virtue of education and experience

Instructors and staff are routinely evaluated to ensure competence

Processes are in place to assure that assessment methods and tools are appropriate, reliable, and valid

Facilities and technologies are appropriate for the individuals being assessed and the level of assessment

IRB and data security needs are met and documented
Adequate technical support for data analysis is present
Human factors, psychometric, and statistical support available when indicated


Instructors demonstrate a capability to perform research

There is evidence of publication and/or presentation of research findings in peer-reviewed forums

Program has an established record of research

The mission statement includes a specific commitment to research

Evidence of successful efforts to obtain research support exists

Program uses a scholarly approach to training assessment

Documentation of IRB adherence and data security protocol
There is a designated director of research with roles delineated in the organizational structure and adequate support time

There is documentation of mentoring simulation researchers
There are instructors with specific research training and internal/external documentation of collaboration


Program oversight is by an expert in simulation education

Program facilitates professional development for instructors

Instructors engage in certified ongoing training to improve skills

Instructors are familiar with capabilities and limitations of simulation modalities

Offers comprehensive simulation-based learning

Educational materials are evidence based, reliable, and valid

Simulation modalities are appropriate for learning objectives

Curriculum design process involves currently understood simulation education theory

Program has the ability to offer CME

Educational activities are linked to the strategic plan

Records are kept on all instructors and instructor’s professional development

Feedback incorporated into programming

Program continually updates and improves its courses

Record keeping supports evaluation, validation, and research of curriculum

Records of learner, instructor, and coordinator activities are maintained

Systems integration and patient safetya

Simulation personnel are actively involved in performance improvement committees and activities

Process exists to identify and address opportunities for improvement within the organization that utilize principles of process engineering

Systems integration and patient safety activities are linked to the strategic plan

Mission statement includes the desire to enhance individual, team, and organizational performance for improved patient outcomes
Program activities are influenced by risk management activities of the organization

Used with permission

aAccreditation in systems integration and patient safety requires concomitant accreditation in one or more other areas

Table 48.3
Specialty-sponsored simulation program: a summary of characteristics

Sponsoring organization

Scope and model

Personnel criteria

Learner criteria

Curricular requirements


ACS education institutesa [6]


Institute director appointed for 3 years at 25% time protected

Must include surgeons plus 3 specialties/learner groups, for example:

Incorporates procedural and cognitive skills

Curriculum development involves:

Needs assessment

Development of objectives

Selection of instructional methods

Creation of instructional materials

Effective delivery

Learner assessment

Program assessment

Assessment of effectiveness

Educational programs are accredited by the LCME, ACGME, ACCME, or equivalent

Faculty are appropriately trained

1,200 sq. ft contiguous with face to the public

No less than 4,000 sq. ft. additional space for storage, lounge, etc.

Can accommodate a minimum of 20 trainees at a time

Has teleconferencing available

Internet capable

Has adequate space for administration

Has adequate space for skills trainers

Annual budget can support the activities of the institute

Provides a mission statement

Provides an organizational chart

Establishes a steering committee or advisory board

Level 1a


Level 2


Surgical director is FACS and has 10% time protected

Administrator with 50% time for center

Coordinator with 50% time




Allied health



Must demonstrate the effectiveness of curriculum

Must provide evidence of:

Long-term follow-up of learners

Maintenance of skills


Interdisciplinary training

Curriculum validation

ASA simulation endorsement [9]


Must have an established mechanism for instructor training, evaluation, credentialing

Program director should hold a doctoral degree and academic appointment at an accredited institution

Course director should:

Be credentialed as an instructor

ASA member

Hold appointment in the Department of Anesthesiology

UME, GME (optional)

Quality assurance program must be in place

Methodologically sound program for curriculum development and assessment must be evident

Sample curriculum and scenario required

Provides a mission statement

Organization should maximize the likelihood that course quality will be maintained

Document governance and financial model

Program leadership and financial stability required

Facilities should be sufficient for the coursework offered, including parking, and meals

Written policies and procedures should exist

Demonstrate necessary educational technology to conduct courses
Single level

ACOG simulation consortium


Not currently defined


Simulation-based surgical skills education with patient safety focus

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May 30, 2017 | Posted by in Uncategorized | Comments Off on Program and Center Accreditation
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