The new virtual platform involved two-three simulation technical personnel controlling a manikin and acting as room confederate(s) (e.g., nurse, respiratory therapist, etc.) in one of the theatre-based simulation suites. The overview of the room, from the video system, was broadcast to learners via Zoom’s share screen feature allowing learners to interact with the manikin (patient) and confederate(s) virtually. Faculty instructors pre-briefed learners, reviewed the simulation session on Zoom, then conducted subsequent debriefing in a virtual break-out room.

A notable limitation of the virtual platform is that it does not allow learners to engage in hands on assessment and practice compared to in-person sessions. However, it enabled learners to focus on decision making, problem-solving skills and communication with the team members.