title: In reply to Rubio et al.
authors.affiliation: Professor of medicine and director, Academy for Innovation in Medical Education, Faculty of Medicine, University of Ottawa, and research director, University of Ottawa Skills and Simulation Centre, Ottawa, Ontario, Canada; shamstra@uottawa.ca. Assistant professor of medicine, University of Toronto, Toronto, Ontario, Canada. Associate professor of medicine, University of British Columbia, Vancouver, British Columbia, Canada. Professor of medicine and medical education, Mayo Clinic College of Medicine, and director, Office of Education Research, Mayo Medical School, Rochester, Minnesota.
authors.forename: Stanley J
authors.initials: SJ
authors.lastname: Hamstra
authors.forename: Ryan
authors.initials: R
authors.lastname: Brydges
authors.forename: Rose
authors.initials: R
authors.lastname: Hatala
authors.forename: David A
authors.initials: DA
authors.lastname: Cook
mesh_terms: D002983:Clinical Competence; D003198:Computer Simulation / Q000592:standards*; D006281:Health Occupations / Q000193:education*; D006801:Humans; D018794:Problem-Based Learning / Q000379:methods*