In 2004, the University of British Columbia (UBC) Faculty of Medicine (FOM) initiated its Distributed Medical Program (DMP), the purpose of which is to provide equal access to medical teaching and training for students, residents, and practicing physicians across Province of British Columbia. The Distributed Medical Program DMP is made possible by technology-enabled learning spaces located at university sites (UNBC, UBCO, UVic, and UBC) as well as clinical education facilities located across the province. Many of these spaces are also videoconference (VC)-enabled and are connected to each other via the central VC Bridge, all of which rests on a dedicated network specifically designed to support quality of service high-definition videoconferencing. The FoM has created infrastructure guidelines for technology-enabled learning spaces based on industry best practices and extensive organizational experience developed since 2004. For every type of technology enabled learning space there exists has an associated Simulation and Audiovisual Infrastructure Design Guideline document with high-level information functional requirements.The Simulation Design Guidelines are intended to encourage and facilitate conversation between designers and the UBC FOM project team to confirm that all designs match the intended use of the space.