I was surprised how many colleges were not finding simulation useful. Most colleges to include large well known BSN & ADN programs voiced concerns of increasing the use of simulation during the discussion period when a BSN college proposed a resolution which included wanting to increase use of simulation to 50% and expressed how beneficial simulation was at their college. I think students do not understand the benefits of simulation and I have the feeling they may get the impression simulation can not substitute a real patient from their current faculty who probably have not had the opportunity to understand or orient their simulation centers. I was really surprised students felt simulation was an additional stressor for their faculty. They would only state this I believe from their faculty who voice simulation as a stressor.