METHODS: In July of 2015, four first-year PCCM fellows attended 15 mandatory training sessions to develop skill at UEI. Each session included a short didactic discussion followed by SBT using a computerized patient simulator (CPS). Sessions emphasized task training, crew resource management (CRM) communication, mastery of a Do/Confirm 46-point checklist, standard crew assignments, and combined team tactics. The fellows executed multiple scenarios of increasing complexity and stress with one fellow assigned to be team leader while the others assumed the roles of crew members on a rotating basis. Each scenario was followed by a formal debriefing session. At the end of the entire training period, each fellow was tested on the CPS while wearing a body mounted video camera. The same video assessment was done on the fellow’s first real patient UEI to evaluate if SBT translated to real-life patient encounter. Video recordings were scored by two independent investigators using a standardized score sheet. Forty of the 46 items on the checklist could be scored from the video recordings.