Michigan Standard Simulation Experience Scale

The Michigan Standard Simulation Experience Scale (MiSSES) Template is a working document that includes the six components of the MiSSES toolkit. It is designed to provide a framework for assessment, providing the option of assessing entire range of domains identified through a review of simulation literature. The template was designed to be manually adapted by investigators to specific use scenarios. Investigators can select relevant sections of the template to use, based on their own needs. Refinement of the toolkit is ongoing, and additional user testing will result in iterative improvements to the MiSSES.

Users are free to adapt this template for their own use.

Please use the following citation in published work:

“Assessment was adapted from the MiSSES template for evaluation of simulation.” With reference:
Seagull FJ, Rooney DM. Filling a void: Developing a standard subjective assessment tool for surgical simulation through focused review of current practices. Surgery. 2014 Sep;156(3):718-22. doi: 10.1016/j.surg.2014.04.048. PubMed PMID: 25175506.
Electronic versions of this instrument are available online through Qualtrics and Survey Monkey.
For more information, validation data, and collaboration, please contact:



Deborah M. Rooney, PhD

Director of Education and Research, Clinical Simulation Center
Director 3D & Innovations Lab
Professor of Learning Health Sciences on the Clinical Track