Dr. Nowicki: Adjunct Faculty, School of Nursing and Health Professions, Chaminade University of Honolulu, Honolulu, HI; previous affiliation Education Specialist/International Program Coordinator at SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii where the project was completed, and Founder and Co-President, Japan Pacific Healthcare Alliance, Nara, Japan. Dr. Berg: Professor of Medicine and Director of Simulation at SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI. Mr. Okada: Graduate Research Associate, Epidemiology, University of Hawaii Cancer Center, Honolulu, HI. Dr. Yagi: Adjunct lecture, Medical Education Center, Jichii Medical University, Tochigi, Japan, and Research Fellow, SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI. Dr. Tomisawa: Professor, Department of Nursing Sciences, Hirosaki University Graduate School of Health Sciences, Aomori, Japan. Dr. Kawahara: Senior Assistant Professor, Simulation Center, Aichi Medical University, Aichi, Japan. Dr. Ouchi: Lecturer, School of Medicine, University of the Ryukyus, Okinawa, Japan, and Adjunct Assistant Professor, SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii. Dr. Moritoki: Associate Professor (specially-appointed), Center for Medical Education and Training, Akita University Hospital, Akita, Japan, and Adjunct Assistant Professor, SimTiki Simulation Center, John A. Burns School of Medicine, University of Hawaii. Dr. Otori: Professor, School of Pharmacy, Kindai University, Osaka, Japan, and Founder and Co-President, Japan Pacific Healthcare Alliance.

Correspondence: Mariko Nowicki, DNP, MEHP, RN, CHSE, School of Nursing and Health Professions, Chaminade University of Honolulu, PO Box 11293, Honolulu, HI 96828; e-mail: [email protected].

Disclosures: The authors declare no conflicts of interest. This project did not receive any grant from funding agencies in the public, commercial, or not-for-profit sectors.