Researchers from the Cardiocirculatory Pathology group at Vall d’Hebron Institute of Research (VHIR) have coordinated a review article on simulators in ecochardiography education in collaboration with researchers from St George’s Hospital and Georges Pompidou Hospital. The study, published in the journal Anesthesiology in a special issue on Education in Anesthesia (January 2014), could allow the introduction of simulation in echocardiography in medical education and could supply the high demand for training in this tool that has been detected in the recent years. These simulators can enhance and accelerate the learning process and the manual ability of echocardiography, especially in the early stages of formation of the specialties of anesthesiology and intensive care, as it represents a breakthrough in medicine and surgery. The study details how it should be used for optimal introduction, the space to be occupied in the training, processes, the reason for its importance and how to use them.The simulation is not yet officially implemented in academic medicine programs. For its effective introduction, as Dr. Fernando Clau-Terré says, principal researcher of the study and member of the Network on Haemodynamics and Echocardiography of the Spanish Society of Intensive Medicine, Critical and Coronary Units (SEMICYUC in Spanish) and of the European Society of Intensive Medicine (ESICM), “it must be known which place occupies in the simulation training in echocardiography programmes and what is its importance in accreditation programs in this tool". In addition, he points out, "the industry must improve and update the software of the various existing simulators".The Vall d'Hebron University Hospital (HUVH) has a simulator, Heartworks, that allows practice in transthoracic and transesophageal echocardiography. The simulator allows rapid learning in the acquisition and interpretation of normal studies and studies of different pathologies to doctors in training. The simulator practices are a key part of the training and accreditation for intensivists, anesthesiologists and doctors from emergency department, coordinated by Dr. Arturo Evangelista, Head of the Section of Cardiac Imaging. The next course will be held from 9 to 11 April this year.