Since its inception, the Center for Simulation, Advanced Education and Innovation has actively endorsed and promoted mentoring as a critical component of training, research experience, and career development. We support a robust international Simulation Education and Research Fellowship Program with individualized development plans to meet each fellow’s educational needs. The Center for Simulation Fellowship goal is to develop next generation international simulation leaders for both education and research. We embrace diverse knowledge and skills international fellows bring to us. In addition, the Fellowship goal includes building familiarity with the U.S. healthcare system and culture, which also provides the rest of us opportunities for reflection.