Table 3.

Representative Comments Received During Debriefings

Domain	Examples
Dividing attention	Attending: “You realize how much multitasking you’re trying to do when you’re listening. You literally have 3 other  perceived obligations during that time.”
Handoff roles	Nurse: “It would be better with assigning roles for nurses. Then you can get in there and start doing things.” Nurse: “As the primary nurse, I trust who I pick to do things while I’m writing things down.”
Communication hierarchy	Nurse: “I don’t feel as comfortable saying, You’re a surgeon, you need to stop talking right now.” Nurse: “It’s the status, the age, the experience.”
Distractions	Attending: “It makes you aware of how noisy the handoffs are in real life. Usually it’s a madhouse with pagers and  overhead announcements … There’s minutes, huge sections of time, when I wasn’t listening.”
Realism	Nurse: “I thought the scenario was similar to a kid coming back who was fairly unstable when he arrives.” Nurse: “It was pretty consistent. The patient acuity was about right.”
Education/practice	Fellow: “As far as practicing your ability, it was about as heavy as you could get.” Respiratory therapist: “It was great. It was a lot more fun than I thought it was going to be.”