This past April the Human Simulation and Patient Safety Center hosted its inaugural Anesthesia Crisis Resource Management (CRM) course for CA3 residents. The course focused on teaching key principles of CRM including leadership, communication, using cognitive aids, calling for help, and more. During the full-day course, all CA3 residents were put into unique, challenging, and rare scenarios designed to push their CRM skills in various ways. Each scenario was followed by a debriefing session between the faculty and learners. These debriefing sessions provide a forum for reflection on the simulated experience and promote positive change in daily clinical practice. The Duke HSPSC had a wonderful time working with the Duke anesthesiology residents and the enthusiastic faculty while supporting continuing education and patient safety initiatives.