Medical simulation is an effective method to teach high-risk procedural skills, identify latent safety threats in healthcare, improve patient safety, and develop teamwork and communication skills. As the field of medical simulation continues to grow rapidly, fellowship training in medical simulation also continues expanding to meet the growing demand. In only ten years, over 45 new simulation fellowships have started worldwide. With increased utilization of medical simulation in training, there is an associated increase in demand for well-trained, effective simulation educators. Simulation fellowships exist to provide this training and generate graduates who are successful in administrative skills required to operate a simulation center, effectively facilitate and debrief learners, design curricula to achieve educational objectives, and publish simulation-based research to further the specialty.
The rapid expansion of simulation fellowships has led to a lack of standardization in the fellowship curriculum. While this allows for tailored training toward trainee interest, it also creates wide variability in the curriculum and potentially limits the transferability of fellowship training. Medical simulation fellowships have not obtained accreditation from the Accreditation Council on Graduate Medical Education (ACGME) or Royal College of Physicians and Surgeons of Canada (RCPSC). Surgical simulation fellowships do have accreditation from the American College of Surgery. The content and structure of medical simulation fellowships vary, as evidenced by previous studies surveying fellowship program directors and graduates.