This handbook has been developed over years of simulator training experience and discussion with simulation instructors. Simulation is a valuable resource, and it is used incresingly in training, but what about training the trainer? Specialized training on intergrating simulators into teaching is not always available. The book is a resource for instructors, or those aspiring to be instructors, who are expected to design and implement simulation training and who may lack information on how to acheive this. The handbook will promote discussion and further development for simulation instructor training.