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Anaesthesia Crisis Resource Management (ACRM) training should prepare anesthetists to cope more effectively with critical incidents in the operating room (e.g. anaphylactic shock severe circulatory disorders difficult airway management). Analogous to crew resource management training in aviation ACRM training teaches trainees heuristic principles of crisis management (concerning e.g. resource management assuming leadership and situation awareness during critical anaesthesia incidents) in simulation scenarios. The paper describes the design of a training programme that uses a full-scale simulator with a complete operating theatre to teach ACRM principles. This training was evaluated with a quasi-experimental pre-post-test design using questionnaire-based evaluation measures. The evaluation results point to changes in ACRM related attitudes and perceived competencies; Trainees' reactions to the simulator training were also assessed. Finally future research activities are outlined.