Dear Editor:
Simulation has made significant in-roads into the provision of medical education over the past twenty years[1].Simulation made its first impact in specialities such as emergency medicine and anaesthetics;however,it is now being used as an educational modality in a diverse range of specialities-from general practice to psychiatry.Perhaps the greatest pointer of the success of simulation is that it is now increasingly being seen as embedded in medical education and no longer something new and different.So now is probably an appropriate time to consider the future of simulation.Where will simulation go next? It is likely that a number of different themes will emerge.