Medical simulation affords practice for low frequency/high acuity scenarios, procedural skills prior to a patient encounter, and complex ethical and spiritual communication. Also, simulation education provides a forum for interdisciplinary education: to learn and practice important skill sets and communication skills while training together. By supplying “education on demand,” simulation alleviates many educational constraints while unifying resident exposure to critical thinking, procedural skills, and important interpersonal professional skill sets. This curriculum was developed, implemented, and successfully improved learner confidence in critical care topics, procedural skills, and communication skills while creating a curriculum with a high level of learner satisfaction.