In his best selling book Outliers, Malcolm Gladwell examines the factors that contribute to high levels of success. Gladwell considers why the majority of Canadian ice hockey players are born in the first few months of the year, how Microsoft co-founder Bill Gates achieved his extreme wealth, and why the Beatles became one of the most successful musical acts in human history. Throughout his book, Gladwell theorizes how historical and cultural circumstances can pave the way for such phenomenal success. What can the healthcare simulation industry learn from a similar of exploration of its own past, present, and future? Simulation Evangelist Lance Baily has applied Gladwell's theories to our industry and explains why his projects, including HealthySimulation.com and SimGHOSTS.org, have made such huge global impacts in just five short years. By understanding the core truths behind the success of these projects, participants will take away valuable arguments they can use to advocate for the expanded use of simulation in their own home institutions. Finally, Lance explores how the historical and cultural forces that are now in motion will transform healthcare simulation as we know it from a small community of early-adopters to a universal standard embraced by all.