In the August Journal Club episode Ben and Vic look at articles involving the clinical outcomes from simulation training, trauma team leadership and serious games. We applauded a study looking at the association of simulation training with rates of medical malpractice claims among obstetrician–gynaecologists. This segued nicely into discussion of return on Investment for QI/ educational interventions offer to us by Shah and colleagues. Team leadership was next on the agenda – with a deep dive into the development of a behavioural marker took for observation and feedback for trauma team leaders. We finished with a systematic review looking at learner engagement and learning outcomes from serious games.