We are pleased to see that the findings presented in “Pneumothorax Following Thoracentesis: A Systematic Review and Meta-analysis”1 specifically substantiate our simulation-based, blended curriculum for procedural instruction. In 2007, we implemented a comprehensive approach to teaching multiple invasive bedside procedures, among them thoracentesis. In the context of a dedicated medical procedure service, our curriculum is targeted to internal medicine house staff and implemented at a tertiary care, academic medical center with a primary affiliation with a US medical school.2