Competing interests: VB is Professor of Emergency Medicine and is employed by Gold Coast Hospital and Health Service where she works in healthcare simulation. She is also co-producer of the Simulcast podcast (www.simulationpodcast.com). EIP is a senior resident in Emergency Medicine at Queen’s University and recently completed a fellowship in translational simulation at Gold Coast University Hospital. KB is employed as Chief Quality Officer for NYC Health+Hospitals/Jacobi, and Clinical Director, NYC Health+Hospitals Simulation Center. She is also Associate Professor at Albert Einstein College of Medicine