"When in Doubt, Change It out": A Case-Based Simulation for Pediatric Residents Caring for Hospitalized Tracheostomy-Dependent Children.

The simulation was well received by residents. The interrater reliability was acceptable. This low-fidelity simulation exercise can easily be executed with minimal materials or instructor training. High-yield, just-in-time training with postcase debriefing is key to the simulation's success.