QxALS Adult Instructor Training 2026
Advanced Life Support in the Operating Room
6–10 places · Two entry pathways · Paid work after accreditation
REASEL, endorsed by the Consejo Latinoamericano de Reanimación en Situaciones Especiales (CLREASE) · Mexico · Version 1.1 · July 2026
A call to build faculty. We are not looking for people who repeat what we already know. We are looking for professionals able to contribute what we still need to learn. Six to ten places, plus up to two alternates; direct and integrated pathways; paid work after accreditation.
1. Introduction and purpose
We want to hear from you
I am certain that there are people who know more than we do in specific areas. We want to hear from them, learn from them and give them a place in the project so that the whole team grows.
Over the years, REASEL has built the setting, platform, academic validation and a community committed to transforming the response to cardiac arrest in special situations. We now want to open this effort to professionals who can contribute their experience and use education to transform practice, make a lasting impact on learners and improve teams' responses to every resuscitation event.
The purpose of this call is to select and develop between six and ten primary candidates, with the possibility of appointing up to two alternates, for a structured pathway of training, assessment and eventual accreditation as a QxALS Adult Instructor.
Team philosophyWe are not here to train resuscitation protagonists. We are here to train professionals who can make a team function. In the operating room, leadership does not mean everyone trying to direct at the same time. It means knowing when to coordinate, when to execute, when to support and how always to integrate into what the patient and team need.
2. Academic and institutional ecosystem
Training takes place within a structure connecting education, simulation, clinical practice, research, publications, international representation and regional collaboration.
| Programme or structure | Identity and role |
|---|---|
| REASEL | Reanimación en Situaciones Especiales Latinoamérica. An academic and operational platform developing programmes, materials, courses, simulation and projects in in-hospital resuscitation. |
| QxALS | Advanced Life Support in the Operating Room. A programme integrating physiology, monitoring, teamwork and resolution of causes in the perioperative environment. |
| CathALS | Advanced life support in the cardiac catheterization laboratory. A programme with an educational architecture similar to QxALS, focused on circulatory arrest during catheterization and interventional procedures. |
| CALS | Cardiac Advanced Life Support. A structured international programme for cardiac arrest after cardiac surgery. REASEL has participated in its teaching and Latin American representation for approximately eight years. |
| Niños Reanimando México | Sowing a culture of resuscitation from childhood. An educational initiative to bring resuscitation to children and young people and strengthen an earlier societal response. |
| CLREASE | Consejo Latinoamericano de Reanimación en Situaciones Especiales. A scientific and regional structure promoting thematic lines, publications, committees, congresses and Latin American collaboration. |
A connected structureProgrammes and projects do not function as isolated initiatives. They share a philosophy of contextual training, teamwork, assessment, scientific updating and methodological protection.
3. Scope, places and candidate profiles
This call is for professionals residing in Mexico. People interested from other countries have a separate registration route, described in section 12 of the published source.
- No minimum number of years of professional experience is required.
- Previous experience as a teacher or instructor is not mandatory.
- Training in clinical simulation, education or academic design will be viewed favourably but does not guarantee acceptance.
- Residents in any year may participate if they have the necessary time and obtain their institution's permission.
- Nursing applicants require applicable professional training and activity connected to the operating room, recovery, critical care, cardiac catheterization, ECMO, emergency care, hospitalization or resuscitation.
- Applying does not imply acceptance. REASEL may select between six and ten primary candidates and up to two alternates, according to the quality of profiles and its capacity for support.
| Professional profile | Human and academic profile |
|---|---|
| Anaesthesiology and subspecialties; surgery and surgical specialties; critical care, emergency medicine and cardiology; perioperative and critical-care nursing; perfusion, ECMO and cardiac catheterization; residents and other profiles connected to in-hospital care. | Reliability, ability to honour agreements, openness to feedback, initiative, progressive autonomy, willingness to study, teamwork and interest in building something broader than a certification. |
Places, alternates and confirmationSelected alternates will not make payments until they receive a formal offer of a place. Primary candidates will have up to five business days to confirm their place through the first payment. If they do not do so within that period, REASEL may offer the place to the next alternate.
4. Entry pathways and investment
We are committed to identifying the candidates with the greatest potential, even if they have not yet completed QxALS online and in-person training.
An integrated pathway is available to these candidates. It preserves all requirements and may culminate, after successful completion of each stage, in validation as a QxALS Instructor.
Amounts include taxes and may be invoiced when the participant submits the required tax information within the administrative deadline.
The instructor-training fee includes virtual training and the specific in-person instructor session; a personal instructor manual and temporary access to authorized resources; two supervised teaching placements and a third remedial placement when indicated; individual assessment, feedback, mentoring and follow-up throughout the process; and meals during the in-person training day. Parking at Universidad Anáhuac Campus Sur is subject to institutional availability.
It does not include travel, accommodation, parking at other venues, personal expenses or a fourth or subsequent supervised placement. Any additional fee must be communicated before scheduling the activity.
| Pathway | Investment | What it includes | Payment arrangement |
|---|---|---|---|
| Direct pathway | $7,500 MXN | For current QxALS providers. Includes virtual instructor training, an in-person session, two supervised teaching placements, assessment and support. | Payment 1: $3,750 upon formal acceptance of the place. Payment 2: $3,750 before internal materials are released and the specific instructor phase begins. |
| Integrated pathway | $12,500 MXN | For candidates who still need to complete QxALS. Provider-course accreditation comes first; instructor training is then activated. | Stage 1: QxALS Adult, $5,000. Stage 2: instructor training, $7,500 in two payments of $3,750. The full amount need not be paid at once. |
Payment arrangements for selected profilesWhen the committee identifies a high-potential candidate who still needs to complete QxALS, REASEL may agree an individualized payment schedule. This arrangement does not reduce requirements, guarantee accreditation or enable early access to internal materials.
5. Training structure and duration
Estimated individual duration: between six and twelve months. This does not mean twelve months of continuous classes.
The period includes virtual preparation, practice in real courses, venue availability, assessment and possible remediation activities.
| Stage | Purpose and requirements |
|---|---|
| 1. QxALS virtual preparation | Knowledge of the programme and, where applicable, completion of the online provider component. |
| 2. In-person provider session | Experience the course as a participant and demonstrate the corresponding competencies. |
| 3. Virtual instructor training | REASEL methodology, simulation, teaching, assessment, debriefing, confidentiality and intellectual property. |
| 4. In-person instructor session | Microteaching, operations, scenarios, software, feedback, assessment and remediation. |
| 5. First supervised teaching placement | Guided participation in a real course with objectives and structured feedback. |
| 6. Second supervised teaching placement | Progressively autonomous performance in stations, scenarios, assessment and debriefing. |
| 7. Accreditation assessment | Clinical, teaching, operational, professional and methodological assessment. |
| 8. Remediation when needed | A third placement is included when there is progress and a specific area to strengthen. |
Protected accessMaster materials, scenarios, assessments, internal guides, software and configurations will be enabled personally, temporarily and revocably only after QxALS provider accreditation and signature of the corresponding agreements.
6. Application and selection process
The application uses two linked forms. The first records the formal intention to participate and confirms that the applicant knows the conditions. The second receives the full application file and documents.
- Curriculum vitae of no more than two pages.
- Professional or academic letter of recommendation.
- Evidence of QxALS status.
- Professional document or proof of residency training, as applicable.
- Motivation to join QxALS and expected contribution.
- Reflection on why cardiac arrest in a special situation cannot be approached in the same way as conventional cardiac arrest.
- An example of initiative and execution without constant supervision.
- Areas of development and interest within REASEL and CLREASE.
| Process stage | Activity |
|---|---|
| 1. Start the application | Record details, entry pathway and confirmation of requirements. |
| 2. Application file | Curriculum vitae, recommendation, QxALS evidence, professional document and academic responses. |
| 3. Document review | Verify completeness, eligibility and alignment with the project. |
| 4. Academic assessment | Foundations of perioperative resuscitation, clinical reasoning, teamwork and learning capacity. |
| 5. Virtual interview | A conversation lasting approximately 20 minutes. |
| 6. Deliberation | REASEL leadership, advised by two active instructors. |
| 7. Outcome | Primary candidate, conditional acceptance, alternate, eligible for a future cohort or not selected. |
| Domain | Weight |
|---|---|
| Clinical knowledge and performance | 25% |
| Teaching potential and communication | 20% |
| Teamwork and professionalism | 20% |
| Availability and commitment | 20% |
| Educational or simulation experience | 15% |
Communication of resultsResults will be communicated individually. Comparisons between applicants and named scores will not be published. Academic assessment will use 85% as a reference; when the overall profile is favourable, the committee may prescribe remediation or consider the candidate for a later cohort. Decisions are final for this call.
7. Assessment, supervised placements and accreditation
Attendance and payment do not guarantee accreditation. Two supervised placements are the minimum requirement, but the final decision depends on demonstrated competence.
- The authorized designation during this stage is QxALS Adult Instructor Candidate.
- Candidates act under supervision and may not certify participants, independently direct an edition or present themselves as accredited instructors.
- An ordinary maximum of three candidates per course will be sought to protect learners' experience and allow sufficient feedback.
- Date and venue assignment depends on the calendar, candidate availability, the presence of a supervisor and the programme's academic needs.
| Domain | What is observed |
|---|---|
| Clinical | Knowledge, physiological reasoning and decision safety. |
| Methodology | Fidelity to the programme and understanding of the QxALS architecture. |
| Teaching | Microteaching, demonstration, communication and deliberate practice. |
| Simulation | Facilitation, management of cues and ability not to solve the problem for the learner. |
| Debriefing | Analysis, feedback, reflection and psychological safety. |
| Assessment | Objective judgement, documentation and remediation decisions. |
| Operations | Software, monitors, equipment, setup, logistics and records. |
| Professionalism | Reliability, punctuality, teamwork and conduct. |
| Possible outcome | Implication |
|---|---|
| Accredited as a QxALS Instructor | May be invited to paid teaching activities. |
| Third supervised placement | Included at no cost when there is progress and a defined area to strengthen. |
| Specific remediation | Repetition or reinforcement of a specific competency. |
| Additional placements | A fourth and subsequent placements may incur an operational fee communicated in advance. |
| Suspension or non-accreditation | Applies to insufficient competence, abandonment, non-compliance or incompatible conduct. |
8. Teaching participation and remuneration
After accreditation as a QxALS Instructor, your work is remunerated.
Coordination is a function assigned for a specific edition. It is not a permanent category or a separate hierarchy within the faculty.
Supervised placements are educational and do not generate fees. Each subsequent participation requires an invitation, express acceptance and an agreement for the event. Accreditation does not guarantee a number of courses or create permanent employment, exclusivity or a fixed salary.
During training and supervised placements, travel, accommodation and personal expenses are the candidate's responsibility unless authorized in writing. When an accredited instructor is invited outside their city, REASEL covers previously authorized expenses within reasonable limits. Alcoholic beverages, companions and personal expenses are not covered.
| Role | Current fee | Scope |
|---|---|---|
| QxALS Instructor | $4,000 MXN per course | There may be one or several per edition. Participates in stations, scenarios, debriefing, assessment, remediation and operational support. |
| QxALS Course Coordinator | $5,000 MXN per course | One per edition. Coordinates the course's academic, operational and documentary execution. |
Course structureEach edition has a QxALS Course Coordinator and may include one or more QxALS Instructors, according to participant numbers, stations and academic needs.
9. Academic, scientific and professional development
Instructor accreditation can be the beginning of a broader pathway within the REASEL–CLREASE ecosystem.
Participation in publications, authorship, congresses, committees or positions is neither automatic nor guaranteed by payment or accreditation. It depends on real contributions, preparation, compliance, ethical criteria, project availability and institutional invitations.
| Development area | Opportunities |
|---|---|
| Scientific production | Participation in reviews, clinical cases, educational research, algorithms, consensus work, manuscripts, responses to reviewers and editorial processes. |
| Congresses and representation | Workshops, conferences, roundtables, panels, simulation, contributed papers and national or international activities. |
| CLREASE | Possibility of applying to thematic groups, projects, scientific lines and committees, according to the corresponding needs and appointments. |
| Thematic development | Obstetric and paediatric resuscitation, cardiac surgery, cardiac catheterization, ECMO, obesity, plastic surgery, local anaesthetic systemic toxicity, metabolic disorders and other special situations. |
Growth pathwayTeach — deepen knowledge — research — publish — represent — train others.
10. Proposed calendar
Scheduling is designed to allow candidates to complete the provider course, virtual instructor phase and necessary preparation before the in-person session at the end of October.
| Date | Activity |
|---|---|
| 15 July 2026 | Publication of the call. |
| 22 July 2026, 20:00 Mexico City time | Virtual information session. |
| 9 August 2026, 23:59 | Applications close. |
| 10–21 August 2026 | Review, assessments and interviews. |
| 24 August 2026 | Results communicated. |
| 31 August–23 October 2026 | Virtual training and preparation. |
| 29 October 2026 | In-person instructor session in Mexico City, planned at Universidad Anáhuac México, Campus Sur. |
| 30 October 2026 | First supervised teaching placement for eligible candidates. |
| November 2026 to the first half of 2027 | Later placements in Mexico City and authorized venues, including activities in Jalisco, Puerto Vallarta, Mazatlán and other locations. |
Possible changesDates may be adjusted due to venue availability, travel, academic calendars, operational conditions or justified cohort needs. Changes will be communicated in advance, and agreement with selected people will be sought.
11. Summary of operational terms
These terms clarify how the process will be administered after selection. Individual documents signed by accredited or selected candidates will develop legal and operational obligations more precisely.
Authorization to use photographs or video for publicity will be collected separately. Refusal of promotional image use will not affect selection. When internal recording is used for assessment or quality purposes, its purpose and handling will be explained.
Loss of current status may require academic updating, assessment, one or more supervised placements and a reactivation fee. REASEL may recognize previously completed stages when inactivity has been brief and competence remains demonstrable.
| Area | Rules |
|---|---|
| Attendance and rescheduling | Change requests must be submitted in writing as soon as possible. Rescheduling depends on course, supervisor and venue availability; REASEL does not guarantee an immediate alternative date. Two unjustified cancellations or an absence without notice may result in suspension. Force majeure circumstances are assessed individually. Once an accredited instructor accepts course participation, any cancellation must be notified at least fifteen days in advance, except in an emergency. |
| Access to materials and instructor manual | The manual and access are personal, identified and non-transferable. Complete scenarios, assessment banks, editable files, software and configurations remain on the platform or are supplied only for the assigned function. REASEL may withdraw access and request return or deletion of materials at the end of an activity, upon suspension or when current status is lost. |
12. Confidentiality, conduct, validity and financial provisions
Protected materials, professional conduct and continuing accreditation requirements.
Cases, scenarios, assessments, algorithms, manuals, software, configurations, databases, guides, editable files and internal processes remain protected. Access is personal, temporary, identified, revocable and non-transferable.
Copying, sharing, recording, publishing, selling, adapting, sublicensing or using QxALS materials outside authorized activities is not permitted. Institutional or hospital use requires written REASEL authorization.
QxALS Instructor accreditation is valid for two years. Maintaining it requires a minimum of four verifiable activities during that period, aiming for at least two per year, in addition to mandatory updates and calibration. While instructors retain active status, their QxALS provider certification remains valid at no additional cost.
- Respect, integrity, punctuality, safety and confidentiality.
- No discrimination, harassment, intimidation or deliberate humiliation.
- Responsible use of social media and protection of participants' images.
- Honest assessment, no retaliation and respect for professional boundaries.
- Participation under the effects of alcohol or substances compromising performance is prohibited.
| Cancellation or rescheduling stage | Financial and operational conditions |
|---|---|
| Before internal materials are released | A one-time transfer to a later cohort or a refund with up to 20% retained for administration may be requested. |
| After materials are released | Payment is non-refundable; a transfer may be authorized for justified reasons and subject to availability. |
| After the in-person session | There is no refund. |
| Non-compliance or prolonged inactivity | Two unjustified cancellations, an absence without notice or prolonged inactivity may cause suspension and additional reinstatement costs. |
13. Interested professionals outside Mexico
The main call is directed at Mexico, but international interest will not be lost.
REASEL will register interested professionals by country to connect them with existing venues, form groups and develop new national pathways under its academic and methodological guidance.
Use the international interest form if you live outside Mexico and wish to receive information about your country's pathway.
| Countries with an active structure | Countries without an established centre |
|---|---|
| In Ecuador and Bolivia, interested professionals may gradually join local teams and processes, always with REASEL training, follow-up and validation. | The interest database will help gather critical mass, identify leaders, connect host institutions and build a Provider–Instructor–Supervised placements pathway. |
Scope of registrationRegistering interest does not guarantee immediate opening of a venue, course or instructor place. It allows the right people to be organized to build each process responsibly.
International interest registration — https://reasel.typeform.com/InteresInt
14. How to start a national application
The national application has two stages. The first form records formal intention and confirms that applicants know the conditions. On completion, it directs them to the application file, where documents and academic responses are uploaded.
After registering your intention to apply, you will receive the checklist and link to complete your application file. Use the same email address throughout the process.
- I have reviewed the call information.
- I know the investment and the two entry pathways.
- I understand that applying does not imply acceptance.
- I understand that paying does not guarantee accreditation.
- I can attend in-person activities on weekdays.
- I can complete supervised teaching placements within the expected period.
- I commit to submitting the full application file before the deadline.
Start the national application — https://reasel.typeform.com/InstructorQx1
Information and contact
Official contacts and institutional responsibility
- Email: contacto@reaselatinoamerica.com
- WhatsApp: 722 404 8525
- REASEL platform: https://reanimacion-en-situaciones-especiales-rease.teachable.com/p/home
- Dr. Rafael Eduardo Herrera Elizalde
- REASEL Director · CLREASE President and Founder · QxALS Academic Leadership
- Place and date: Mexico City, ________________________________
NoteThis document contains the call, its general terms and a summary of operational rules. Selected people must sign individual documents covering acceptance, confidentiality, intellectual property, conduct and collaboration for each event.
REASEL · QxALS Adult 2026 · Version 1.1
