Table 2.

Timeline of simulation activity

Day	Activity	Details
Day 1: designing a clinical laboratory	8:30 a.m. Presimulation survey	Conducted in a separate lecture classroom
	12:00 p.m. Faculty-led briefing	Introduction to laboratory design Define simulation parameters • Personnel requirements • Position descriptions • Test menu/analytical benches • Physician space
	12:30 p.m.–3:00 p.m. Designing a clinical laboratory (student led)	Determine laboratory positions • analytical bench assignments • employee schedule • laboratory layout/design Review SOPs for each bench • Identify/request required instrumentation Complete individual checklists Store documents • bench assignments/schedule, design, checklists
Day 2: operating a clinical laboratory	12:00 p.m. Faculty-led briefing	Review SOPs: specimen receipt/accessioning, handling, TATs, rejection, interference, reporting, critical values, cancellations, data/specimen storage. Distribute laboratory documents (Table 3).
	12:30 p.m.–3:00 p.m. Operating a clinical laboratory (facilitated simulation)	• Specimen processing: order review, confirm proper collection/handling, aliquots, store primary specimen, deliver aliquots to appropriate bench. • Analytical benches: manage TATs, evaluate specimen integrity, perform quality control, follow analytical and result reporting procedures. • Documentation and storage: patient orders, patient specimens, analytical worksheets, patient reports.
	3:30 p.m. Faculty-led debriefing	Group discussion on roles, responsibilities, experiences, impressions of simulation.
Day 14	8:30 a.m. Postsimulation survey	Conducted in a separate lecture classroom.