From 2003 through 2008, the University of Missouri has offered a four week patient safety/quality of care curriculum to students from medicine, health management, nursing, and respiratory therapy. The curriculum is intended to introduce students to the skills needed to evaluate and respond to an adverse event within health care using quality improvement tools and techniques. This year, many changes occurred to the program. Dr. Carla Dyer (we will have a link to Carla as a CHCQ Associate), with assistance from Dr. Rusty McCulloh, took over the reigns from Dr. Les Hall. Pharmacy students were also added, which provided an additional disciplinary perspective to the event. But the most substantial change came in the training process. In the past, students were given a written case to examine. They met for three weeks to conduct a root cause analysis and on the final day of the course, presented their results. However, rather than examining a case, Dr. Dyer utilized The Russell D. and Mary B. Shelden Clinical Simulation Center (hyperlink please). 18 teams, made up of 12 students each were exposed to a staged adverse event. Each group of students (e.g., nursing, HMI) had particular roles to play and expertise that they added as the event unfolded in order to take action and address problems exposed during the event as they occurred. Actors were also involved in this simulation. Although this was a large change in the curriculum, the students responded well to this and highly evaluated the experience.