SIM Scenario Exchange


Contributed on February 2, 2018, last updated June 22, 2022.



Samer Elamrousy, MHI, University of Toronto
Sharon Domb, MD, CCFP, FCFP, Sunnybrook Health Sciences Centre
Elizabeth Borycki, PhD, RN, University of Victoria
Shmuel Reis, MD, MHPE, Bar-Ilan University, Israel
Andre Kushniruk, PhD, University of Victoria
Amitai Ziv, MD, MHA, MSR- Israel Center for Medical Simulation
Aviv Shachak, PhD, University of Toronto

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EMR-sim is a computer-based (‚’virtual patient’) simulation to teach clinicians on the challenges of using electronic medical records (EMRs) in the patient-clinician encounter. The scenarios for this project were designed on the basis of a literature review and a research study of the impact of EMRs on the clinical encounter and the strategies and best practices developed by clinicians to overcome the negative impacts and maximize the benefits of using the EMR. The simulation was pilot tested with Family Medicine residents at Sunnybrook Health Sciences Centre in Toronto with promising results. The project was funded by SIM-one Research and Innovation grant. Two prototype virtual patient cases are shared under Creative Commons (attribution- non-for-profit- share alike) license.

Simulation Modality:

Virtual gaming simulation / virtual patient


Patient-clinician communication in computerized settings


See related publications below:

Elamrousy, S., Domb, S., Borycki, E., Reis, S., Kushniruk, A., Ziv, A. & Shachak, A. (2013). EMR-sim: a computer-based simulation for enhancing residents’ competence in computerized primary care setting. Poster session at Workshop on Interactive Systems in Healthcare (WISH) 2013, Washington, DC.…
Shachak, A., Domb, S., Borycki, E., Fong, N, Skyrme, A., Kushniruk, A., Reis, S.& Ziv, A. (2015). A Pilot Study of Computer-based simulation training for enhancing Family Medicine residents’ competence in computerized settings. Studies in Health Technology and Informatics 216:506-510.″>…


Elamrousy S, Domb S, Borycki E, Reis S, Kushniruk A, Ziv A, Shachak A. EMR-sim. Simulation resource published by Simulation Canada; 2018. Available from

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The information about this resource and any downloadable files are shared under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Creative Commons Creative Attribution Creative Non Commerical Creative Share A Like

Target Learners






Continuing professional development
Graduate / postgraduate / residency
Undergraduate / post-secondary

Fields / Disciplines:

Primary care / community care / family practice

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