Simulations are anchored on years of science demonstrating that learning is best achieved by doing, and as such are used across various professional training settings. Patient simulations in medical education support performance and quality improvement by aligning activities to quality measures and the National Quality Strategy (NQS) priorities such as promoting best practices, making care safer, and promoting effective communication. The underlying framework of MedSims' simulations incorporate the National Committee for Quality Assurance's (NCQA) formula for improvement — Measure, Analyze, Improve, and Repeat.