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• SPs can conduct encounters using the afore mentioned aforementioned video conferencing software either from home or from campus , if they are willing and able.  
• These can also be hosted by sim center staff, with SP and Learner calling in.  
  This would allow control of the recording after the fact to fall to staff, rather than the SP or the Learner. 
• Recordings from the video conferencing software can be uploaded into CAE LearningSpace, as outlined above. 
• Some centers have opted to take an asynchronous approach to administer interactions.   
  • A patient scenario can be broken into segments as separate cases within an activity. 
  • Pre-encounters can be utilized for knowledge questions, media review (x-rays, ultrasound, EKG strips, etc.), and patient-specific information. 
  • Within each case, videos of staged encounters or previous exemplars can be embedded but are not a requirement. 
  • Post-encounters can be used for follow-up questions, SOAP note writing practice, and instructions on how to move to the next case. 
  • Access restrictions typically in place can be removed for self-guided student access.