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Simulation is an integral part of our residency didactics.  Residents participate in afternoon small-group simulation sessions (4-5 residents on a rotating basis) that are held every other week.  Junior residents practice serving as team leaders during medical, traumatic and obstetric simulations.  Senior residents practice taking care of rare and difficult cases.  We also use simulation to work on team work, handoffs and strategies for dealing with difficult patients, family members and consultants. A list of cases done in simulation over the past two years can be found at the bottom of this page.


  • Resident Facilitators: Both junior and senior residents volunteer to serve as facilitators during simulation.  Junior residents serve as confederates (nurses, patient's family members, consultants) and are asked to help with the clinical portions of the debriefing.  Senior residents are asked to write the case for the junior residents (under the guidance of Dr. Anana).  
  • SimWars: Our institution has hosted Sim Wars for residencies in New Jersey for the last five years.  Initially a small competition at NJ ACEP, the competition has grown to include all of the residencies in New Jersey and now is divided into two competitions.  NJMS EM residents are involved in all aspects of the competition, from planning the competition as a whole, to writing cases, to serving as confederates during the competition
  • Sim Team: Our Sim Team has competed at Sim Wars in NJ for the last five years.  This year, the residents won the Sim Wars Competition at the NJ ANSER conference.  Our Sim Team were also semi finalists in the national competition at SAEM in San Diego. 

In addition to competing locally and nationally, our Sim Team members serve as facilitators for resident and medical student simulations.  This year, they hosted a simulation for the Internal Medicine residency at our institution.



Cases done in simulation during the past two years include:

Adrenal Crisis

Acute Mitral Regurgitation Secondary to MI


Aortic Dissection

Aortic Dissection with STEMI

Arsenic Poisoning

Benadryl Overdose

Cavernous Sinus Thrombosis

Clonidine Overdose

Compartment Syndrome

Congestive Heart Failure

Cyanide Poisoning

Cerbrovascular Accident


Ecclampsia with subdural

Ectopic Pregnancy

Elderly Patient with traumatic injuries

Hepatic Failure with GI Bleed

Hyponatremia with Seizures

Infant Meningitis

Infant with Inborn Error of Metabolism

Infant with Toxic Bradycardia

Inferior MI with Complete Heart Block

Mass Casualty Incident


Multiple Trauma with Hypothermia

Neurogenic Shock

Organophosphate Poisioning

Pelvic Fracture

Pelvic Fracture with MI

Placental Abruption

Pregnant Patient with Appendicitis

Spinal Cord Injury

Traumatic Brain Injury

Traumatic Brain Injury with Hypoglycemia

Toxic Bradycardia

Uremic Pericarditis

Urosepsis with Altered Mental Status