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Endoscopy is dependent on effective team work - evident in emergency situations. Emergencies in endoscopy are rare:Endoscopy nurses need to have knowledge & skills to act in these situations.Rarity of emergency scenarios leads to deskilling in their management.Innovation & increased ability to perform complex interventions increases the riskSimulated practice allows nurses to work together in the knowledge that they are within the safety of a non-clinical environment. Simulation improves non-technical skills and increases situational awareness. The short course in endoscopy nursing provides students with a connected approach to learning of which simulation is one pedagogical approach. Simulation provides an immersive experience – patient experience and team member roles.essential in the provision of person-centered care in an endoscopy emergency.