Following each scenario, a shared debriefing consisting of two faculty, the scenario participant, and three observers to the scenario took place. Debriefing lasted approximately 45 min and explored immediate reactions, course objectives, clinical management, pathophysiology, procedural instruction, and guided feedback to improve future clinical performance. Debriefing was facilitated by faculty members specifically trained in simulation education who allowed the learners to explore their learning needs while insuring curricular objectives were met. Additionally, domain experts from pastoral care, ethics, and risk management co-debriefed during scenarios involving medical error disclosure and death notification.