Simulation-based learning is a proven method applied in many other industries to train professionals of all skill levels in decision-making, and tasks ranging from the simple to complex. Historically, the barriers to organizing and implementing simulations were costly and cumbersome, however changes in technology have allowed easier access to simulation-based training. Given the flexibility and the power to mirror real world issues, CME providers should consider simulation as a primary “go to” when designing performance-oriented programs to improve educational outcomes and identify gaps and needs.