The emergency medicine department has a high fidelity simulation center designed and operated by the emergency medicine faculty. The center features one infant, one pediatric, one obstetric, and three adult state-of-the-art mannequins. Every month, residents have a conference day dedicated to simulations and learning procedures. In addition, residents engage in specialized courses at transition points, tailored to the respective year of training. Our senior residents each design and debrief a simulation scenario for the junior learners.