You play the Student seat. Every other role is scripted, so the room behaves like a real team while you practise recognition, escalation, closed-loop communication and staying inside your scope. Change track.
Preoperative antibiotic administration cannot be confirmed before incision.
Consent laterality disagrees with the schedule, imaging and the site mark.
A scrubbed team member brushes the toga hood against a non-sterile light handle.
An unlabeled syringe of clear fluid appears on the back table.
A cruciate-substituting femoral component is presented for a cruciate-retaining plan.
The closing count is one item short.
A cutting guide has a visible crack and a fragment is unaccounted for.
A medial femoral condyle fracture is recognized during trialing.
The polyethylene insert is not fully seated and retained cement is visible.
New foot drop and diminished pulse are detected in PACU.
Passing is 80 or higher with no critical safety failure. Ignoring a hazard, proceeding through an unresolved discrepancy, falsifying a count, or performing an action outside your scope ends the run in remediation regardless of the point total.