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Eighty-five of 87 (98%) interns were included for analysis; 46 were randomized to BT and 39 to ST. Interns in the BT group were significantly more likely to exhibit CLC (mean BT 20.3, ST 16.6; = .003), directed communication (mean BT 4.3, ST 1.5; .001), and follower-initiated communication (mean BT 12.8, ST 10.2; = .028). There was no significant difference in clinical performance measures or self-reported confidence with resuscitation between BT and ST groups. Blindfolding trainees results in greater instances of CLC, directed co