Labor and Delivery Team Simulation Courses

Learning Teamwork and Crisis Resource Management for Labor and Delivery Clinicians


Course Details

For obstetrical nurses, midwives, obstetricians and anesthesiologists

  • Credits Earned
    Eligible Credits
    7.25 AMA PRA Category 1 Credits
  • Course Duration
    Course Duration
    1 Day

This full-day Labor and Delivery Crisis Resource Management (CRM) experiential course focuses on event management during simulated clinical practice. Participants include obstetricians, obstetrical nurses, midwives and obstetrical anesthesiologists because collaboration and teamwork among these groups is so important during obstetrical events.


Physicians $2,050 USD
Midwives $995 USD
Nurses and Technicians $385 USD

Participant Comments:

“Today's course reinforced my need to repeat SIM on a regular basis to practice/reinforce concepts.”
“It is a wonderful and important way to grow as a provider and team player.”
“A terrific day of simulation with wonderful teammates.”
“Debriefing is a skill that is not used enough clinically…this is excellent practice”

The Center for Medical Simulation (CMS) provides a realistic medical setting equipped with all the supplies and devices normally found in Labor and Delivery. Simulated clinical scenarios and obstetrical procedures are conducted using a computerized mannequin and fetal heart rate simulator equipment. Some obstetrical procedures cannot be easily simulated and require participants to role play, but behave as they would in the real clinical environment.

Participants view their simulation training on video during structured group debriefings that are facilitated by trained CMS instructors who provide practice and supportive feedback. This instruction is intended to enhance teamwork skills and result in a reduction of adverse events and medical errors in actual clinical settings.

The course curriculum is derived from the review of obstetrical claims data, consultation with obstetrical leadership, experience with anesthesia CRM courses and feedback from our successful Labor & Delivery CRM programs.

Course Topics Include:

  • Factors that degrade long-term vigilance in Labor and Delivery
    • Work overload
    • Hubris
    • Production pressures
    • Fixation and being stuck in mental models that seem rational but aren’t
    • Tolerance, accommodation and being falsely reassured
    • Fatigue
  • Communication strategies in event management
    • Sharing information with all team members
    • Importance of closed-loop communications
    • Introducing yourself, your level of experience to your team and vice versa
    • Lower threshold
    • Calling for help
    • Assertiveness techniques
  • Strategies for debriefing events and disclosing medical errors
    • Being accountable as a member of the team
    • Apologizing without accepting blame
    • Talking to the patient and family

Continuing Medical Education (CME) Credit:

Learning Teamwork and Crisis Resource Management (CRM) for Labor and Delivery Clinicians is sponsored by CRICO/RMF of the Harvard Medical Institutions. CRICO/Risk Management Foundation of the Harvard Medical Institutions, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CRICO/RMF designates this live activity for a maximum of 7.25 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is designed to be suitable for 7.25 hours of Risk Management study in Massachusetts.

Nurses, Midwives, and other healthcare providers will receive a “Certificate of Attendance” with credit hours that may be converted to CEs or CEUs. Massachusetts-licensed nurses can find information about converting CME to CEU at this site. Nurses from other states should check with their respective State Board or credentialing body for guidance on this process.

ABOG-approved Simulation Course:
Meets the annual Improvement in Medical Practice (Part IV) MOC requirement

We are very pleased to announce that the Center for Medical Simulation’s Learning Teamwork and Crisis Resource Management (CRM) for Labor and Delivery Clinicians course is approved to meet the ABOG Part IV Improvement in Medical Practice requirements for 2018-2019.

The ABOG MOC standards now allow participation in ABOG-approved Simulation Courses to meet the annual Improvement in Medical Practice (Part IV) MOC requirement. Please review the current MOC Bulletin in ABOG MOC Publications for further information.

Course Requirements

Do not sign up for a course that is full without the prior permission of a L&D Course Director.


Please review the important policy information below.

The Center for Medical Simulation accepts payment by credit card, wire transfer, money order or cashier’s check in U.S. dollars. Personal checks are not accepted. You will be receiving an invoice via email, no paper invoices are issued. Your payment is due immediately upon receipt.

If you have any questions regarding pricing or our policies, please Contact Us.

If you must cancel we will refund your tuition less a processing fee provided another paid candidate is able to fill your seat. Otherwise, you will forfeit half your tuition. If you would like to switch to a course offered at a different date, we will apply your tuition toward the new course provided another paid candidate is able to fill your current seat. Otherwise, you will forfeit half your tuition. If you still want to switch to another course date we will apply half of your paid tuition and you will be billed for the remaining half. Please note that the tuition for a course offered at a later date may be higher. In that case, individuals switching to the later course date will need to pay the difference in the tuition fees.

Processing Fees

  • $250 for administration and processing for Healthcare Simulation Essentials: Design and Debriefing course (formerly known as the Comprehensive Instructor Workshop) and Advanced Instructor Course participants
  • $100 for administration and processing for DASH Rater Training Workshop, Online Debriefing Skills Workshop, the Feedback Course and Clinical Training course participants

If you have any questions regarding pricing or our policies, please Contact Us.

You will be informed of acceptance to your selected course/workshop by email within two weeks of our receiving your completed application. Your tuition is due immediately upon acceptance. Once accepted you will receive another email containing an invoice with payment instructions.

Please note that acceptance does not mean enrollment. Once accepted, you are placed on a wait list.

You are not enrolled, and do not have a reserved seat, until we have received your full tuition. Course seats are filled in the order we receive tuition payments. Since our courses fill quickly it is important for you to send in your tuition immediately to secure a seat.

Once your tuition payment is received, you will be taken off the wait list and enrolled in your desired course/workshop provided a seat is still available. If all seats in your preferred course/workshop are filled by the time we receive your tuition payment, you will be informed that it is full and given the option to remain on the wait list in the event that a seat later become available, switch to another course at a later date with available seats or receive a refund.

If you have any questions regarding pricing or our policies, please Contact Us.

Required to Observe or Participate in the Course

Confidentiality of Information

During your participation in courses run by the Center for Medical Simulation (CMS), you may observe the performance of other individuals managing medical events and debriefing of those events. It is also possible that you may be a participant in these activities. You are asked to maintain and hold confidential all information regarding performance of individuals and details of the simulated cases.

By applying for this course, you acknowledge to having read and understood this statement and agree to maintain the strictest confidentiality about any observations you make regarding the performance of individuals and the simulated cases.

Permission to Review Video Recordings for Educational Purposes

During the course, you may participate in realistic simulated cases of medical events and/or simulated debriefings that may be video recorded for review during debriefings as part of the educational experience. The goal is for the facilitators to provide focused feedback to the team. The faculty may review these recordings at a later date for quality improvement of the training.

By applying for this course, you acknowledge to having read and understood that you may be video recorded in the course and agree to allow CMS faculty to review these video recordings for educational purposes.