Simulation training is an integral part of our educational program.  A monthly simulation course of high risk challenging scenarios, conducted in a 10,000 square foot state-of-the-art Simulation Center, is taught by the faculty to airway and anesthesia rotators.  From the control room, faculty observe participants and discuss lessons during post-simulation debrief meetings.  Fellows are involved initially as participants in the simulation course and are transitioned to teaching roles to become leaders in trauma medicine.