In this episode of MedEd Thread, we talk with Michael Simon, Enterprise Emergency Medical Services Education Manager, about how simulation‑based learning is advancing EMS education across Northeast Ohio. Michael describes Cleveland Clinic’s physician‑led, hands on simulation model, which replaces traditional lectures with high‑fidelity scenarios that build clinical skills, teamwork and real world readiness for EMS providers. He also discusses scaling education across more than 100 agencies and explores emerging innovations such as virtual reality and artificial intelligence in pre‑hospital training. Tune in to learn how simulation is helping prepare EMS professionals to deliver high‑quality care when seconds matter most.