Dr. Durham was part of a multicenter trial assessing learning of systems thinking that utilized a table-top simulation.
You can read the article here: Sanko JS, Gattamorta K, Young J, Durham CF, Sherwood G, Dolansky M. A Multisite Study Demonstrates Positive Impacts to Systems Thinking Using a Table-top Simulation Experience. Nurse Educ. 2021 Jan/Feb;46(1):29-33. doi: 10.1097/NNE.0000000000000817.