SIM100 – Sim Confidentiality Policy

No./Title: SIM100 – Sim Confidentiality

Resp. Office: SIMULATION

Approval Body: CASA

Effective Date: 02/16/2017

Category: Academic

Last Review: 02/04/2020

Next Review: 02/04/2023

Contact: Chad Epps, Executive Director

Healthcare Simulation Program

🕿 901.448.4530




SIM104 – Sim Media Capture


  1. Participants: anyone involved in or observers of simulation activity (e.g., students, learners, educators, instructors, faculty, staff, or observers)
  2. Simulation activities: include simulated clinical scenarios, simulated task training, standardized patient scenarios, debriefings and/or discussions and may be electronic, written, verbal, observed or overheard.


  1. Healthcare simulation activities conducted by the Simulation Program are or should be treated as CONFIDENTIAL to ensure academic integrity, healthcare quality and patient safety, student and personal privacy, professionalism, and, conform to various state and federal laws regulating healthcare, the healthcare professions, education records, sponsored research and intellectual property and trade secrets rights.
  2. Simulation participants will hold all simulation activities Confidential.
  3. The Simulation Program may use media (photographic, video and audio recording) captured in simulation activities as specified in the Sim Media Capture policy, including for quality improvement, training, education and research.
  4. Simulation participants will report any known violations of this policy.


  1. All participants in simulation activities must sign the Sim Confidentiality Agreement (included as Appendix A) either electronically or in writing, prior to participating in any Sim activity.
  2. Any simulation participant refusing to execute the Confidentiality Agreement will not be allowed to participate in simulations.
  3. Any materials from the simulation event (cases, media recording, evaluations, etc.) will be kept confidential and maintained in a secure/locked environment.
  4. Any breach of Confidentiality by a Participant may result in disciplinary, Honor Code, professionalism committee and/or legal action. Examples of violations include social media postings describing a simulation scenario, verbal discussions in a student study group, gossip regarding the performance of a student/learning during a simulation, revealing information in a formal/informal discovery or deposition in a court case, etc. The only time such information may be divulged is with the express, written approval of the Course Director/Executive Director of Healthcare Simulation, or by order of a Court of competent jurisdiction.
  5. Any violations in the Confidentiality Policy must be reported to the Simulation Program at, or to the Executive Director.
  6. Simulation Participants may not photograph, video record, or audio record any simulation activity. Only UTHSC Simulation Program is authorized to engage in any form of media capture of image, video or voice recording.
  7. Simulation Participants are subject to the confidentiality requirements of various state and federal laws, including but not limited to the Health Insurance Portability and Accountability Act (HIPAA), Family Educational Rights and Privacy Act (“FERPA”), federal Patient Safety and Quality Improvement Act of 2005, Tennessee Patient Safety and Quality Improvement Act of 2011, as amended, Tennessee Public Records Act, Sponsored Research (Tenn. Code Ann. § 49-7-120) as well as professionalism requirements of UTHSC and the various health care professions and licensing boards.
  8. Contracts and/or purchase orders with non-university outside entities for use of simulation services shall reference this Policy and include the following language: “This contract is for the purposes of sponsored research or services and/or Quality Improvement Committee functions”.


Effective: 02/16/2017, Committee on Academic and Student Affairs (CASA)

Approved: 01/18/2017, CASA

Revised: 02/04/2020, CASA

Approved: 02/05/2020, Chancellor

SIM100 – Sim Confidentiality Policy
Version: 1 // Effective: 02/16/2017
PDF icon Downloadable PDF

Related Procedures:

Related Forms: