L.E. Smith is an internal medicine resident, Massachusetts General Hospital, Boston, Massachusetts; ORCID: https://orcid.org/0000-0001-7666-4792.

M.E. McBride is professor, Departments of Pediatrics and Medical Education, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

B. Henschen is associate professor, Departments of Medicine and Medical Education, Northwestern University Feinberg School of Medicine, Chicago, Illinois; ORCID: http://orcid.org/0000-0003-0994-9725.

J. Bierman is professor, Departments of Medicine and Medical Education, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

T. Uchida is associate professor, Departments of Medicine and Medical Education, Northwestern University Feinberg School of Medicine, Chicago, Illinois; ORCID: http://orcid.org/0000-0002-3251-5872.

W. Eppich is professor, Faculty of Medicine, Dentistry, and Health Sciences, The University of Melbourne, Victoria, Australia; ORCID: https://orcid.org/0000-0002-4127-2825.

Correspondence should be addressed to Walter Eppich, Faculty of Medicine, Dentistry, and Health Sciences, The University of Melbourne, Level 7 North, Medical Bldg., Grattan Street, Victoria 3010, Australia; email: [email protected].

Supplemental digital content for this article is available at https://links.lww.com/ACADMED/B554.

Acknowledgments: The authors wish to thank Patricia Garcia, Marianne Green, Sandra Sanguino, Diane Wayne, Eric Neilson, Rosanne Vasiloff, and Molly McCahill for their support of the ECMH program. Additionally, they wish to thank Dan Evans for his logistical support. They also wish to thank the ECMH students, especially those who participated in this study.

Funding/Support: This study was supported by the Department of Medical Education and Department of Pediatrics, Northwestern University Feinberg School of Medicine.

Other disclosures: Walter Eppich, MD, PhD, receives per diem honoraria from PAEDSIM e.V. to teach on simulation educator courses.

Ethical approval: This study was approved as exempt by the Ann & Robert H. Lurie Children’s Hospital of Chicago IRB, November 29, 2020, #2021-4154, with site approval by the Northwestern University IRB, December 23, 2020, #STU00214092.

Previous presentations: This study was presented at the Association of American Medical Colleges Learn Serve Lead 2023; November 7, 2023; Seattle, Washington, and Northwestern University Feinberg School of Medicine Medical Education Day; September 30, 2022; Chicago, Illinois.