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Simulation as an educational tool is known to have benefits. Moreover, the use of simulation in continuing interprofessional development is vital in rural and remote communities with limited case volumes and resources. This study explored power dynamics between rural simulation participants and urban expert co-debriefers during asimulated operating room crisis and debriefing. The aim is to gain arich understanding of rural/urban relational dynamics embedded within the constraints and affordances of videoconferencing technology. In situ o