According to various embodiments, methods and systems are provided herein for training a user in alarm behaviors of a medical device. The alarm behaviors may be accessed via a simulator system that obtains input regarding alarm settings, accesses stored plethysmographic waveform data representative of data obtained through the simulated medical device and that applies the alarm setting inputs to the stored plethysmographic waveform data to provide simulated alarm outputs representative of alarm outputs of the medical device.