In our latest Advances in Sim collaborative episode, we explore how translational simulation has evolved in the last 6 years.  Ben interviews the authors of “Translational simulation revisited: an evolving conceptual model for the contribution of simulation to healthcare quality and safety”, Prof Gabe Reedy and our own Prof Victoria Brazil in order to explore their new paper.  Together we discuss how the concepts of Purpose, Process and Conceptual Foundations underpin the strategic design and delivery of projects using translational sim.