Patient is a 49 year old Caucasian male patient who presented to the Emergency Room last night complaining of abdominal pain, nausea, and vomiting. CT of the abdomen was completed and laparoscopic cholecystectomy scheduled with Dr. Altimari. Patient is NPO and admitted to the medical/surgical unit where he will be cared for by the learners. For this case there will be 3 groups of 4 learners per group. This is one clinical case that shows progression through the whole day. Start time of case is at 0700. Once each group has gone through their states of the simulation, all groups will debrief together.