What is SUGAR?

SUGAR stands for Simulation Use for Global Away Rotations and is a simulation-based curriculum used to prepare medical providers for common challenges (both practical and emotional) faced when working in resource-limited settings.

Learn more about SUGAR

Who Uses SUGAR?

SUGAR was co-created by two pediatric global health educators, Sabrina Butteris and Mike Pitt and initially piloted at the seven institutions that make up the Midwest Consortium of Global Child Health Educators. The curriculum was rolled-out nationally in 2014 and is now being used by dozens of residency programs.

Is SUGAR just for pediatrics?

No. While the pilot of SUGAR was carried out at seven pediatric institutions, it is now being used for preparation in internal medicine, emergency medicine, family medicine, obstetrics, and disaster medicine. The SUGAR paradigm can easily be adapted for a number of settings and audiences. If you are interested in adapting the SUGAR framework, contact us at ideas@sugarprep.org.

How can I learn to facilitate SUGAR?

This website is intended to provide the necessary training for you to begin facilitating SUGAR sessions at your institution. If you are interested in hosting one of the lead SUGAR Investigators at your institution for an in person training workshop, send us an email at info@sugarprep.org.

Do I need to have simulation experience to facilitate SUGAR?

No. SUGAR has been successfully used by facilitators without any prior simulation experience. We encourage all facilitators to utilize the Debriefing Script that is paired with each case; this provides an easy to use guide for debriefing, one of the most important components of simulation education.

How much does it cost?

We feel that proper preparation for global health experiences abroad is critical and should be universally available. As a result there is no cost to receive the training or materials to facilitate SUGAR at your institution. We have received some grant support to help offset the cost of disseminating this curriculum. If you wish to have the cases in a full color spiral bound binder, these are available for purchase.

Do I need access to a simulation center/mannequin?

No. As SUGAR is intended to mimic settings with limited resources, it is not essential to have high-fidelity equipment, a simulation center, or mannequins. Even when performed in simulation centers, we advise against using monitors, crash carts, etc as these are not typically available in the settings most providers will be practicing in. Many SUGAR facilitators lead the scenarios with inflatable mannequins or dolls in conference rooms or living rooms.

What supplies do I need?

The supplies needed vary based on the SUGAR case being led and a list of suggested supplies is provided in each case handout. Most supplies will fit in a shoebox. For an example of supplies needed, watch the short tutorial.

SUGAR Supplies

Some of the cases involve procedures, how can I learn about these?

Be sure to visit our SUGAR PEARLS (Procedural Education for Adaptation for Resource Limited Settings) page to learn about performing procedures when supplies are scarce.


What if my question about SUGAR wasn’t answered here?

Email us with questions at info@sugarprep.org.