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Introduction: An important component of all EM residency programs is managing trauma effectively as a team member, but practice on live patients is often impractical and mannequin-based simulations are expensive and logistically restrictive. Therefore, we developed and trialed a web-based, virtual learning environment that provides repeated practice opportunities with life-threatening trauma cases. The Virtual Learning Environment Geographically dispersed trainees use the Internet to access the virtual ED via desktop or laptop computers, take the role of a member of the ED team, and select actions from a menu to assess and manage trauma cases. Deteriorating physiological signs change according to ED team actions. Twelve senior medical students and four beginning EM interns trialed the virtual ED. All reviewed basic trauma management and EMCRM team leadership skills prior to initial orientation to the …