Some interesting words from a talk from David Gaba. The essence Of his message is that the nuclear power industry has made a significant investment in simulation as well as standardization and protocol development. Lastly if you consider the embedded schedule by which each six weeks nuclear power plant operators undergo simulation testing, one could argue there is a significant investment net being made. Thus far, I don’t know of anybody in healthcare that is made this level of investment in safety. Further, I’ll bet the nuclear power industry didn’t have to justify simulation with randomized, placebo-controlled, double-blind studies To determine if nuclear reactor meltdown was going to occur with and without simulation!!!!!!! We need to get real with the justification, and significant impact that we can have with regard to making patients safer with simulation.