Practical strategies to maximise medical simulation learning with minimal resources

Simulation-based education is a powerful tool for clinical skills development, but its implementation is often hindered by resource constraints, time limitations and institutional barriers. Effective simulation can occur in almost any setting, regardless of technology or budget; the key drivers of learning are not high-fidelity equipment and dedicated simulation centres, but rather carefully selected learning objectives, engaged faculty and motivated participants.Effective simulation begins with a targeted needs assessment and the development of achievable learning outcomes. New educators should avoid 'the fidelity trap' where an over-reliance on expensive or complex simulation tools and technology counterintuitively reduces educational value, and instead focus on simplified low-cost scenarios with high-impact patient outcomes. Scenario design can be enhanced by adapting real-life cases, using free online resources and cautiously incorporating generative artificial intelligence for content creation. Quality and safety must be prioritised through rigorous review, ensuring relevance to local practices, whichever method of scenario generation is taken.Task trainers, simulated monitors and audiovisual cues can all be created using cheap, accessible tools which can immerse participants in the scenario without breaking departmental budgets.This article aims to empower new simulation educators to deliver impactful, accessible simulation through careful planning and creative resource development.