This fall our MCHHS Simulation Center underwent some major changes due to capital investments from MCCHS and a number of departments, including PAS. New audio and visual equipment, new SIM-focused staff, a new nursing coordinator, and new high-fidelity manikins have been a welcome addition. With new staff, the SIM center is now utilizing standardized patients, which allow our learners to apply their history and physical skills to “real” people as well as the manikins. They receive feedback on their performance form the faculty as well as the standardized patient. The SIM center is expanding to include AHA trainings for ACLS, PALS, and BLS which will allow us to keep our trainings at the university level rather than outsourcing to CoxHealth or Mercy for these certifications.  Each cohort completes around six Observed Structured Clinical Exams (OSCEs) each year, so the ability to keep these on-campus is a benefit and a cost savings for our department. All of these changes have provided enhanced skills practice and assessment for our learners, and their feedback has been very positive!