Some advantages to simulated learning are: the ability to experience a crisis situation before it occurs in the clinical setting; the ability to evaluate and reflect on the activities in a non-threatening arena; and the predictability of being able to artificially create situations which may never occur in any other way. Simulations also assist with the already overcrowded, hard-to-get clinical sites and many state boards of nursing now allow some simulation experiences as clinical time. According to Jeffries (2009), a few states now allow up to 25 percent of real clinical time to be accounted for with the use of simulation. Jeffries predicts that as more evidence is produced and best practices are developed, the use of the high fidelity simulators as well as much higher tech simulators will occur. Much of this research will come from students working on master’s degrees, PhDs, and other advanced degrees currently.