IMPLICATIONS: A trainee’s skill in managing critical events can be assessed using a multiple scenario simulation-based performance evaluation.

Anesthesia providers are expected to be able to manage critical events after training, yet most trainees rarely encounter these crises in patient care settings. Life-size, high fidelity, electromechanical mannequins provide a method to instruct as well as evaluate a provider’s skill in acute care management (1–12). Historically, simulation training has been used by anesthesia residency and nurse anesthetist training programs as a method to enhance skill acquisition in managing acute care events (2–8, 10–12). The similarities in the content of training exercises used in these studies suggest that a set of training exercises might be developed that could be used to assess anesthesia-provider skill (5–8, 10–12).