Engineering students who take this course are typically specialized in industrial, mechanical, or healthcare management systems. Efficiency in workflow is high priority in their training, but they may have little experience as to how the humanness of healthcare delivery is integrated into their models or proposed designs. The chaos of overcapacity, on-the-spot decision-making, and messiness of healthcare is hard to convey if only relegated to textbooks and discussion boards. Foundational to this course are the clinical observation hours for engineering students, where they embed themselves into healthcare systems, public health departments, and community clinics to interview providers, witness the delivery of care, and compare their assumptions to the reality of what patients and providers experience. Engineering students also utilize Lean methods and tools to describe their observations, however they also receive feedback from their nursing peers as to the accuracy of what is depicted in the visual representations of the system (such as a value stream map or swim lane). This churn of feedback between engineers and nurses creates opportunity for compromise (how to convey recommendations in a constructive way) and collaboration.