Each intern participated in three mandatory 4-h simulation-based sessions over a 6-month period. The curriculum began in January to avoid hospital orientation activities held in the first half of the educational year, to facilitate scheduling nearly 60 interns each year, and to allow appropriate time for interns to become comfortable with patient care requirements within their new hospital setting. Scheduling of simulation sessions was based on intern clinical duties, rotation call schedules, and resident work-hour restrictions. To avoid unexpected absenteeism, a designated scheduling coordinator reminded interns of their scheduled simulated sessions via e-mail as well as digital page the day before each session.