In April 2018, MSR together with the simulation center faculty of Johnson County Community College conducted a 4 day Train the Trainer course in Overland Park Kansas. Ten participants, from a variety of teaching hospitals, medical simulation centers and healthcare organizations from all over Kansas, developed their skills in simulation-based training, including facilitation skills and video based debriefing. In addition, the participants learned scenario design that included how to write simulation-based scenarios, train the SPs (actors), program the simulators and piloting them.