• Marie Nader, Gulsen Tasdelen-Teker, Anthony J DeStephens, Samsun Lampotang, Irina Prelipcean, Robert D Smith, William H Bortcosh, Nicolas R Chiriboga Salazar, Natalia I Martinez Schlurmann, Usama S Hamdan, and Jennifer M Munoz Pareja.
• From the Department of Pediatrics (M.N.), University of Florida College of Medicine, Gainesville, FL; Department of Medical Education and Informatics, Hacettepe University, Ankara, Turkey (G.T.-T.); Center for Safety, Simulation & Advanced Learning Technologies, University of Florida College of Medicine (A.J.D., S.L.); Department of Anesthesiology, University of Florida College of Medicine (A.J.D., S.L.); Office of Educational Affairs/Office of Medical Education (S.L.); Division of Neonatology, University of Florida College of Medicine (I.P.), Department of Pediatrics; Division of Pediatric Critical Care, University of Florida College of Medicine (R.D.S., W.H.B., N.R.C.S., N.I.M.S., J.M.M.P.), Department of Pediatrics; and the Global Smile Foundation (U.S.H.), Norwood, MA.
• Simul Healthc. 2021 Feb 16.

Summary StatementSimulation is a well-studied teaching tool for multidisciplinary teamwork, crisis resource management, and communication skills. These attributes are essential for successful international medical missions, which include healthcare providers with different familiarities with the outreach environment and each team member's role. However, immersive simulation remains underused in similar settings. Our team designed a simulation-based curriculum that focuses on multidisciplinary teamwork and crisis resource management skills. In this commentary, we describe its implementation during high-risk cleft care outreach missions conducted by the Global Smile Foundation. We discuss the importance of a simple, feasible, and flexible platform to successfully overcome the limitations of time and resources inherent to outreach mission work while addressing the clinical and geographic needs specific to each site. We highlight challenges, including unpredictability of the outreach environment, a language barrier, and the short duration of missions. Finally, we offer a roadmap for groups involved in similar global health efforts.Copyright © 2021 Society for Simulation in Healthcare.

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