Introduction/Background One of the biggest headaches in simulation education is getting people to actually do the simulations! One of the simplest and most effective measures (in these busy days where pulling people from clinical activities is difficult), is to “bring simulation closer to the learners”. We found that by setting up a simulation area within earshot of the operating rooms, we were much more successful in getting both learners and teachers to participate in more simulation exercises. Additional advantages include: 1) ease of returning to the OR in case of emergency; 2) being able to set up in an empty OR when one became available; 3) ability to borrow equipment (eg Glidescope®s) since we could quickly return it. We detailed how we did it, how we overcame problems and how we used this method to greatly expand our teaching efforts. Methods In-situ simulation presents a host of advantages. We took advantage of a “nearby piece of real estate” to set up an in-situ simulation “branch office” to aid in teaching simulation to anesthesia residents. We created a list of 30 emergencies that an anesthesiologist might face, then brought in CA-1 residents in a program we named “Drill Baby Drill”, with the thought being that if you drill the common things and drill them over and over again until the residents could respond quickly and accurately to common situations. Here are the emergencies we made them react to: can’t intubate, can’t mask ventilate, can’t intubate or ventilate, saturation drops, laryngospasm, bronchospasm, problems with the endotracheal tube, problems with intravenous lines, equipment problems, chaos from the cath lab, hypertension, hyopotension, increased and decreased heart rate with both hyper and hypotension, Cushing’s triad ST segment elevation consistent with an MI, decreased and increased end-tidal CO2, bucking during the case, vomiting on induction, rhythm disturbances, problems during a TURP, low hematocrit, thyroid storm, malignant hyperthermia, urine output too low or too high, anaphylaxis, local anesthetic toxicity, pneumothorax after central line placement. Given the busy OR schedule, “pulling people and going all the way to the Sim Center” was just not an option. So we set up our local “shop”, pulled the residents when the opportunity presented itself (usually in the early afternoon) and proceeded to “Drill Baby Drill” our CA-1’s. The response from both residents training and attendings who them worked with these residents was overwhelmingly positive. Results: Conclusion In-situ simulation provides a great opportunity to educate residents on a regular basis. With a little ingenuity and close attention to “possibilities that open up during the day”, you can give your residents a meaningful and regular exposure to simulation education right on your front doorstep.