The DASH is widely known as an evidence-based debriefing assessment tool showing validity, reliability, and feasibility . The DASH-SV results demonstrated effective facilitator debriefing (Table 3). In each of the areas scored by learners, the facilitators averaged scores of > 6, which corresponded to “consistently effective debriefing” in both curricular years 1 and 2. After reviewing curricular year 1 DASH-SV data, the facilitators made concerted efforts to improve debriefing behaviors in each of these areas, and DASH-SV scores in curricular year 2 reflected adjustments in debriefing, and consequently improvements in the learning environment.