Table 2 A.

Questions related to simulation effectiveness/outcomes

	Round 3 Rating	Round 2 Rating
1. Does simulator training lead to improved patient outcomes, safety, and quality of care?	4.8±0.4	4.6±0.7
2. Does training on simulators transfer to improved clinical performance?	4.5±0.8	4.4±0.8
3. Does documented simulator competence equal clinical competence?	4.4±0.6	4.3±0.8
4. How do we augment the transfer of simulator-acquired skill?	3.7±0.8	3.5±1.0
5. What are the differences in effectiveness and cost efficiency between virtual reality and realistic simulators?	3.1±1.1	3.3±0.9