Table 3.

Themes identified in free-text responses to the survey statement “Please share any ideas you have for improving the experience”

Themes	No. (%) of related comments	Representative quotes
Better noise control and improve hearing	14 (38)	- There were some issues with background noise that could be improved upon for next time - … position a camera above the operating bed and make actors wear mics - It would be helpful to decrease the volume of the monitors.
Not the same as in-person but (with some adjustments) a viable option to continue sim-based education	13 (35)	- Loved this virtual sim! Fun, really challenged our clinical reasoning skills, and flowed well! - I think given the circumstances, this was a valuable learning experience - The sim was surprisingly way better than expected, considering all the limitations and the zoom overload.
Learner preparedness and team work	7 (19)	- Would be better in smaller groups like real sim. - I think all participants should be strongly encouraged to use video to simulate teamwork and a group environment. If it all possible we should be able to have an email or another screen with the case displayed for access during the SIM
Intermittent debriefing is effective for reflection	3 (8)	- I very much appreciated the stepped debrief sessions, which allow us to reflect on what we were thinking and what we could have done differently.
Total	37 (100)	– –