The Simulation Operative
Welcome to The Simulation Operative—where healthcare simulation meets operations, strategy, technology, and experiential learning.
Great simulation doesn’t just happen when the scenario starts. Behind every meaningful learning experience is an operation built to support it: the people, systems, technology, processes, environments, and decisions that turn an idea into an experience capable of changing practice.
The Simulation Operative explores the business and operational side of healthcare simulation and the critical role it plays in creating high-quality experiential learning. We dig into the realities of building, operating, and advancing simulation programs from learning theory, scenario design, and educational outcomes to simulation technologies, operations, business development, quality improvement, leadership, innovation, and everything happening behind the scenes.
Whether you're a simulation operations specialist, educator, technician, program leader, healthcare professional, or simply someone who believes people learn differently when they have the opportunity to experience, practice, reflect, and improve, this podcast is for you.
We’ll challenge assumptions, share practical ideas, explore emerging technologies, and talk with the people doing the work.
Because simulation is more than equipment.
It’s more than a scenario.
It’s an operation designed to create experiences that change what happens when it matters most.
Welcome to The Simulation Operative.
Episodes

23 hours ago
23 hours ago
18 min
Nobody plans to become a simulation director. Well, almost nobody.
For many of us, healthcare simulation wasn't the original career plan, and leadership certainly wasn't either. We started as clinicians, educators, engineers, operations specialists, or simply the person who could make things work. Then one opportunity led to another, and suddenly we found ourselves responsible for people, budgets, strategy, and the future of an entire simulation program.
But here's the challenge: The skills that got us into leadership aren't necessarily the skills we need once we're there.
In this episode of The Simulation Operative, Phillip Wortham reflects on his own journey from biomedical engineering into simulation leadership and explores why our profession needs to become more intentional about developing its next generation of leaders. We discuss the importance of understanding the business of healthcare, translating simulation into organizational value, applying experiential learning to our own professional growth, and making the difficult transition from being the person who fixes everything to the leader who develops others.
Whether you're already directing a simulation program, considering your next career move, or simply wondering how you ended up in charge, this episode is for you.
You may have arrived in simulation leadership accidentally. What you do once you get there shouldn't be.
#HealthcareSimulation #SimulationLeadership #SimOps #ExperientialLearning #TheSimulationOperative

Sep 22, 2026
Sep 22, 2026
16 min
We spend enormous amounts of time designing simulations, preparing environments, supporting faculty, operating technology, and creating meaningful learning experiences. But how well are we capturing the real impact of all that work?
In this episode of The Simulation Operative, I explore why healthcare simulation needs to move beyond the traditional post-simulation satisfaction survey. I share a practical five-part approach to collecting data from simulation operations, faculty, participants, program demographics, and organizational leadership and how bringing those perspectives together can tell a much more powerful story.
We’ll talk about making the invisible work of simulation operations visible, identifying latent safety threats, understanding who your program is actually reaching, demonstrating resource and equipment utilization, and using data to have better conversations with leadership.
Most importantly, this isn't about collecting more data.
It's about collecting the right data—and using it to make better decisions about our learners, our programs, our resources, and ultimately, patient care.
If you work in simulation operations, education, program leadership, or patient safety, this episode will challenge you to ask one simple question:
What do you wish you knew about your simulation program?

Feb 24, 2024
Feb 24, 2024
13 min
Title: Simulation Operative Podcast Episode 2: Enhancing Healthcare Simulation Efficiency
In the second installment of the Simulation Operative Podcast, listeners delve into the realm of operational efficiencies within healthcare simulation. This episode offers a comprehensive exploration of strategies aimed at optimizing simulation programs or centers, thereby propelling them forward in their mission.
Hosted by Phillip, the podcast delves into various facets of operational enhancements. One key highlight is the discussion surrounding the development of a future organizational chart tailored specifically to drive the evolution of simulation programs. This strategic blueprint serves as a roadmap, delineating the necessary steps and organizational structures essential for the growth and success of simulation initiatives.
Moreover, the episode emphasizes the importance of practicing what we preach as simulationists. It advocates for the integration of Crisis Resource Management (CRM) principles into our daily workflows. By embedding these principles into our practices, we not only enhance operational efficiency but also mitigate the stresses inherent in our professional roles. The incorporation of CRM principles serves as a guiding beacon, enabling simulationists to navigate the complexities of their work with finesse and composure.
Phillip also shares insights into his own career path, offering a personal perspective on the journey within the realm of healthcare simulation. His experiences and anecdotes provide valuable insights for aspiring simulationists and seasoned professionals alike.
Furthermore, the format of the Simulation Operative Podcast series is elucidated, providing listeners with a glimpse into what they can expect from future episodes. With a blend of expert insights, practical strategies, and personal narratives, each episode promises to be a compelling exploration of the multifaceted world of healthcare simulation.
Overall, Simulation Operative Podcast Episode 2 serves as a beacon of knowledge and inspiration for simulation professionals seeking to enhance operational efficiencies and chart a course towards excellence in healthcare simulation.
Listen to the SimGeeks Podcast Episode #6 mentioned in this Episode Here:
https://www.podbean.com/ew/pb-ghbni-d2c9a9

Jan 13, 2024
Jan 13, 2024
12 min
Welcome to "Simulation Operative," Episode One: "Where it Began." In this compelling debut, join host Phillip Wortham as he delves into the heart of patient safety and quality in healthcare.
Phillip, driven by a personal tragedy, recounts the harrowing near miss that nearly claimed his wife's life which could have transformed him into a widower and single father of two young boys. Through this emotional journey, he found a renewed purpose in advocating for patient safety and quality within the healthcare system.
Tune in as Phillip passionately pleads with listeners to share their own patient safety stories, fostering a community of shared experiences and lessons. The episode concludes with an insightful operations bonus segment, where Phillip advocates for diversification in simulation teams. He passionately believes that a diverse team leads to best practices, pushing the boundaries of healthcare simulation.
Don't miss this poignant and inspiring episode that weaves personal tragedy into a powerful call for change in healthcare simulation.

Jan 12, 2024





