https://www.selleckchem.com/products/ABT-737.html Simulation as an educational tool is known to have benefits. Moreover, the use of simulation in continuing interprofessional development is vital in rural and remote communities with limited case volumes and resources. This study explored power dynamics between rural simulation participants and urban expert co-debriefers during asimulated operating room crisis and debriefing. The aim is to gain arich understanding of rural/urban relational dynamics embedded within the constraints and affordances of videoconferencing technology. In situ observations of avideoconference-enabled simulation and debriefing were conducted, followed by seven semi-structured interviews, in this qualitative case study. Asociomateriality lens with additional sensitizing concepts of power from critical theory was employed to explore human and nonhuman interactions between rural learners, urban co-debriefers, and videoconferencing technology. The interviews exposed subtle expressions of power dynamics at play that were curiously not observable in the enactment of the exercise. Rural learners appreciated the objectivity of the urban debriefers as well as the nurse/physician dyad. However, rural participants appeared to quietly dismiss feedback when it was incongruent with their context. Videoconference technology added both benefits and constraints to these relational dynamics. Awareness of power relationships, and insights into affordances and constraints of videoconferencing may enhance operationalization of interprofessional simulation-based education (SBE) in rural and remote contexts. Awareness of power relationships, and insights into affordances and constraints of videoconferencing may enhance operationalization of interprofessional simulation-based education (SBE) in rural and remote contexts.Kiwifruits have become one of the most common food sources triggering allergic reactions. In patients suffering from birch pollen related food aller