Canadian Medical Education Journal 2017, 8(3) Correspondence: Patrick G. Hughes, GME Suite Lower Level B, 2815 South Seacrest Blvd., Boyton Beach, FL 33435, US; phone: (561)737-7733 x87410; email: hughesp3@gmail.com e81 Canadian Medical Education Journal Brief Reports Training the trainers: a survey of simulation fellowship graduates Patrick G. Hughes, 1 Jose Cepeda Brito, 2 Rami A. Ahmed 2 1 Charles E. Schmidt College of Medicine, Florida Atlantic University, Division of Emergency Medicine, Florida US 2 Summa Akron City Hospital, Department of Emergency Medicine, Department of Medical Education, Ohio, US Published: June 30, 2017 CMEJ 2017, 8(3):e81-e89 Available at http://www.cmej.ca © 2017 Hughes, Cepeda Brito, Ahmed; licensee Synergies Partners This is an Open Journal Systems article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: Coupled with the expansion of simulation has been the development and growth of medical simulation fellowships. These non-accredited fellowships do not have a standardized curriculum and there are currently no studies investigating the simulation fellowship experience. The purpose of this study was to explore the simulation fellowship experience of graduates throughout North America and how it prepared them for their post-fellowship career. Methods: A web-based survey was developed by Emergency Medicine attending physicians both of whom completed one-year fellowships in medical simulation. Prior to distribution, the survey was reviewed and tested by three simulation fellowship graduates and a PhD researcher. Feedback was integrated into the survey prior to distribution. The survey consisted of a maximum of 29 multiple choice questions including two step-logic questions and two open response questions. The survey was distributed to simulation fellowship directors in multiple disciplines and the directors were asked to forward the survey to graduates. Additionally, the Society for Academic Emergency Medicine Simulation Academy list-serve was utilized for distribution of the survey. Results: The survey had 35 responses. The majority of respondents completed fellowship within the last two years (66%, 23/35). Fellowship graduates strongly agreed or agreed that their fellowship adequately prepared them for their post-fellowship simulation career (88%). Graduates report that research design/reporting (53%) and administration (18%) were areas of their fellowship curriculum that needed the most improvement. Conclusion: The majority of simulation fellowship graduates agreed that their fellowship experience adequately prepared them for their post-fellowship simulation career. Graduates also felt that training in research and administration are areas that could be improved.