GS PGY 4/5 Monthly Simulation Training is designed to provide residents with orientation to key clinical topics through out their resident program year that will compliment their in-hospital training. Each month will encompass a new set of topics with associated pre-course and post-course requirements. The course will be held in a SiTEL clinical simulation center for a majority of hands-on simulation practice of procedures, patient scenarios, team training, and interactive lectures.