The Joint Commission released a Sentinel Alert regarding prevention of infant death and injury during delivery in July 2004. The Sentinel Alert recommended several ways in which hospitals can improve perinatal outcomes. Two of their recommendations were to initiate team training in perinatal areas to improve communication and to conduct clinical drills to help staff prepare for those events. In 2007, the University of Arkansas for Medical Sciences (UAMS) Department of Nursing, the College of Nursing, and the Department of Obstetrics and Gynecology initiated a multidisciplinary training experience at UAMS utilizing simulator technology. Oftentimes, training for nursing students, hospital staff, medical students, and resident physicians occurs separately, which creates a silo effect of poor cross-discipline communication. Breaking this tradition, UAMS nursing faculty, hospital nursing staff, and attending physicians pursued a unique learning experience through the Noelle mannequin simulator. Noelle is a life-size articulating female birthing simulator combined with an articulating birthing baby and intubatable, cyanotic newborn.  Training sessions focus on a case presentation through simulation of an actual patient admitted to a Labor and Delivery unit. The scenario depicts either a postpartum hemorrhage, shoulder dystocia, or a breech delivery. The scenario gives pertinent health and perinatal history. During the case scenario, the resident physician, the nursing staff, the nursing students, and medical students work collaboratively to resolve the emergency. The actions of the team are taped and reviewed by the nursing faculty and the attending physicians enabling immediate feedback. This multidisciplinary experience allows an assortment of providers to engage in simulator training in an open, collaborative instruction environment.  To date, collaborators have held six multidisciplinary training sessions using the Noelle mannequin, guiding practice among 50 students and healthcare providers in obstetrical emergencies.  This spirit of multidisciplinary training continues today and is being expanded to include other specialties, such as, respiratory therapy and anesthesiology.