1 From the Office of Consultation and Research in Medical Education (OCRME) (J.L.M.), Department of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA; Columbia University School of Nursing (K.B.), New York City, NY; and Departments of Anesthesiology and Medical Education, (C.P.), Simulation and Integrative Learning Institute, University of Illinois College of Medicine, Chicago, IL.