Inclusion Criteria: Clinicians

• Age 18 years or older.

• Employed, credentialed, or training at Mayo Clinic in an eligible clinical role.

• Able to understand the study procedures and provide informed consent.

• Able to participate in an English-language simulation and interview.

• For Scenario 1, able to use translated communication with a standardized patient as part of the simulation.

Exclusion Criteria: Clinicians

• Unable or unwilling to provide informed consent or be video/audio recorded.

• Directly supervised by a member of the recruitment or consent team when the relationship could reasonably create undue influence unless an IRB-approved independent recruitment process is used.

• Prior involvement in developing the exact scripted answer key when participation would compromise blinded performance assessment unless participation is limited to non-scored pilot testing.

Inclusion Criteria: Standardized Patients

• Age 18 years or older.

• Be an experienced standardized patient (actor) available to portray scripted clinical scenarios.

• Be able to follow standardized simulation scripts and study procedures.

• Able to provide informed consent and tolerate wearing the noninvasive devices for the planned session.

• For Scenario 1, bilingual proficiency in the selected Spanish and English sufficient to deliver and verify the scripted content.

Exclusion Criteria Standardized Patients

• Unable or unwilling to be video/audio recorded.

• Skin condition, allergy, implanted device, or other circumstance identified by the device instructions as incompatible with the wearable sensors.

• Any discomfort or safety concern identified before or during device placement.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 07/27/2026. Questions regarding updates should be directed to the study team contact.