Associate Program Director, Dr. Iona Pasca has put together a state-of-the-art simulation learning lab with the support of past of past members of the program (thank you Dr. Kellie Morris). In addition to Dr. Morris' handmade vomiting intubation mannequin (patent pending!), Dr. Pasca has added a TTE/TEE simulator, central line/brachial plexus block simulator, and an epidural/spinal simulator. These will allow residents to gain familiarity with procedures prior to having to perform them greatly increasing comfort level and hopefully success level. As the simulation lab grows, it will undoubtedly become a foundational component of the RUHS training experience.