One of the first recorded surgical simulation was the use of leaf and clay models in India around 600 B.C. to conceptualize nasal reconstruction with a forehead flap.

Recounting stories of some key simulation technologies could be useful for informing future simulation advocates.

The growing complexities of patient care require doctors to master not only knowledge and procedural skills but also the ability to effectively communicate with patients and other health care providers and also to coordinate a variety of patient care activities.