This annual event is sponsored by the Carl J. Shapiro Institute for Education and Research at Harvard Medical School in Boston and the Association of American Medical Colleges (AAMC). It took place April 28 - May 1 and is a closed meeting by invitation only. The team invited from the University of Pittsburgh included Dr John Schaefer as Medical Director of WISER and Dr John Mahoney as the Assistand Dean for Medical Education. In addition to the hosting Harvard Medical School, other prominent medical schools included Baylor, Indiana, Louisville, NYU, Penn State, South Florida, Stanford and Pittsburgh. Plenary questions were presented to the groups for discussion, such as: what are the primary deficiences in medical education, what is the ratinale for use of simulation, how may we use simulation and how should it be evaluated, should research in simulation be directed towards patient outcome, should simulation teaching be assessed by randomized controlled trials, strategies for multicenter collaboration, faculty support for simulation teaching, how should it be financed and many other questions. Dr Schaefer had an opportunity to report on the impressive experiences at WISER.