Saint Thomas Midtown Hospital is a pioneer and leader in the area of obstetric simulation. The OB simulation faculty continuously updates didactic and hands-on programs for nursing staff and attending obstetricians. All attending obstetricians are required to participate in OB simulation to maintain hospital privileges. The OB simulation faculty travels to outlying hospitals in the mid-south to train physicians and nursing staff and conducts a twice-annual national continuing education program for physicians. Topics include postpartum hemorrhage, operative vaginal delivery, severe preeclampsia and eclampsia, and shoulder dystocia.