RT Journal Article SR Electronic T1 Multidisciplinary in-situ simulation to evaluate a rare but high-risk process at a level 1 trauma centre: the “Mega-Sim” approach JF Canadian Journal of Surgery JO CAN J SURG FD Canadian Medical Association SP 357 OP 360 DO 10.1503/cjs.005417 VO 61 IS 5 A1 Nori L. Bradley A1 Kelsey Innes A1 Christa Dakin A1 Andrew Sawka A1 Nasira Lakha A1 S. Morad Hameed YR 2018 UL http://canjsurg.ca/content/61/5/357.abstract AB Multidisciplinary simulation has been used to successfully teach crisis resource management in operating room and emergency department settings. This article describes a “Mega-Sim” approach using an in-situ simulation that moves among multiple hospital departments to enhance multidisciplinary training and assess institutional response to a rare but high-risk event: trauma in a pregnant patient. It appears that a Mega-Sim can be used to identify systems issues, increase medical knowledge and improve perceptions of teamwork and communication within and among hospital departments.