In November 2006, a Simulation Summit was convened in Chicago, IL by the Society for Simulation in Healthcare. The purpose of this gathering was to bring together stakeholders from the widest possible range of societies, organizations, and regulatory agencies with an interest in healthcare simulation. Thirty-three organizations were represented by over 50 participants. Through structured small and large group discussions, eight major themes emerged for the advancement of simulation into the mainstream of healthcare education. Four of these were unanimously agreed upon, and four were widely accepted by the group. This paper summarizes the results of this Summit including future plans to advance the integration of simulation into the mainstream of healthcare.