**Evaluate this session**
Medical/healthcare simulation has been launched to the forefront of medical education by emerging trends in Crew Resource Management and deliberate and repetitive practice in all fields of medicine. The Institute of Medicine’s seminal work on patient safety in 2000 clearly indicated that medical and the healthcare systems should adopt a simulation program. Understanding the complexities of simulator function, as well as proper scenario creation and design limits those agencies attempting to introduce simulation as a teaching methodology. Do you need a $50,000 simulator to have an effective program? In 2014, the NCBSN reported that there was no difference in educational outcomes by replacing up to 50% of clinical time with simulation. Due to legal, and moral implications of "practicing on people", Anthony will also address the use of simulation from differing sides of the argument to promote discussion and introduce educators and managers to a new educational paradigm that could be useful and helpful to them.