The American College of Critical Care Medicine has recommended the use of simulation to enhance resident training in critical care . Additionally, the Institute of Medicine report “To Err is Human” has recommended simulation training for physicians to reduce preventable errors . Growing literature supports the use of simulation to educate and improve knowledge, skills, and attitudes in complex communication such as medical error disclosure  and death notification . Within our hospital system, residency programs use simulation in variable capacities. Importantly, no overarching simulation curriculum exists for critical care emergencies and complex communication skills; rather, residents have varied exposure through bedside experiences.