The mission of the Division of Simulation is to provide realistic patient encounters in a risk free environment to enhance emergency medicine resident, medical student, physician assistant, and nursing education. The simulations are performed the HELPS center (Human Emulation, Education and Evaluation Lab for Patient Safety and Professional Study) occupying 1,600 square feet of space with two video linked conference rooms and two fully functional simulation rooms with adult, pediatric, and infant simulators in the Anesthesia department. The emergency medicine residents participate in monthly simulation conferences in case based format followed by a debriefing and evidence based didactic session. Emphasis is placed on team building skills, leadership and communication, procedural competency, and medical management. Simulation is also built into the mandatory fourth year medical student sub-internship in emergency medicine to allow students the opportunity to manage acute medical and trauma resuscitations on their own. Current simulation research in the department includes the areas of pediatric simulation and resuscitation and the development of resident assessment tools. The division has also begun a senior resident specialty track in simulation and education for residents interested in a career in education.