As the nation's healthcare education system struggles to keep pace with the demand for its services, educators are seeking creative and innovative solutions to meet the needs of a growing number of students. The integration of medical simulation technology into the community college health science curriculum is a creative solution that can meet the needs of healthcare educators and the students they serve, as well as of the healthcare community. This article provides a comprehensive overview of medical simulation, beginning with a review of literature regarding its history and efficacy, continuing with the current state of medical simulation usage, and concluding with implications for practice by offering a matrix for simulation integration and implementation. While Iowa's community colleges are the focus of the current state of usage, the implications for practice are useful to all comprehensive community colleges offering health science education programs. (Contains 4 tables.)