Simulation-based education and sustainability: creating a bridge to action.

Background: In light of growing environmental concerns, this article examines the often-overlooked environmental impact of simulation-based education (SBE) within healthcare. We position simulation professionals as agents for environmentally sustainable change and seek to empower achievable, meaningful, measurable action. As a high-value yet resource-intensive pedagogical tool, SBE frequently relies on energy-intensive technologies and single-use materials that contribute to carbon emissions and waste. This article explores the environmental impact of SBE, detailing how it contributes to the healthcare sector's impact on the triple planetary crisis; climate change, pollution, and biodiversity loss.

Main Messages: Within the simulation community, we have observed a high level of motivation to respond to the triple planetary crisis and make sustainable change. However, there is limited information available to simulation educators about practical changes that can be made. We have responded with an article that can help move from rhetoric to action, from inertia to empowerment. Understanding the environmental impact of simulation activities provides a useful starting point. We explain how to estimate a carbon footprint for SBE and how this relates to its wider environmental impact. Recognising the urgent need for change, we then present a comprehensive toolkit of practical strategies that can improve the environmental impact of SBE. Part one of our toolkit focuses on resource management, waste reduction and efficient session delivery. In part two, we highlight how principles of sustainable healthcare can be incorporated into scenario design and local strategy. This more holistic approach shows how SBE can be leveraged beyond immediate educational goals to foster sustainable practice in healthcare. We present evidence for our toolkit, detailing the principles and frameworks on which the suggestions are based. Additionally, we discuss how change can be measured and what risks educators should be aware of.

Conclusion: By embedding sustainability into SBE, educators can not only mitigate their own environmental impact but also model sustainable healthcare practices for learners. Through these steps, the simulation community can play a pivotal role in addressing healthcare's environmental impact and contribute to a healthier planet.