Simulation can be used for formative and summative evaluation of learner performance. This chapter describes tools and approaches for evaluation of simulation performance through direct and indirect observation, video review, and other metrics of data capture for manikin-based and virtual simulation. Simulation instructors are guided through an approach to evaluating team performance using validated tools. Special considerations for evaluating individual and team performance are discussed, including the impact of stress on performance, minimizing bias, and evaluating large groups of learners.

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