Wisconsin Neuro Targeted SIM Registration

UF/WIDI SIM Registration Form

  • Program

  • Residency Program Director

  • Program Coordinator

    Each participating institution must specify an individual (frequently the residency program coordinator) who will serve as the institution's liaison. Each institution's liaison will be responsible for registering the program and residents; submitting payment; ensuring the workstations are setup and confirming system readiness; and scheduling each resident for the SIM.
  • Residents

    Please enter the names of all residents that will be scheduled to take the SIM and specify current year in program (1st year resident; 2nd year resident; 3rd year resident; 4th year resident).