AUTHOR=Jamalpuri Vijayanand , Gunda Ranjit Kumar , Ramachandra Geethanjali , Thyagarajan Sujatha , Shetty Rakshay , Seethamraju Rajasri R. , Nadkarni Vinay M. , Shepherd Michael TITLE=Breaking barriers in establishing simulation in India–A collaborative approach by pediatric simulation training and research society (PediSTARS) JOURNAL=Frontiers in Pediatrics VOLUME=Volume 10 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.927711 DOI=10.3389/fped.2022.927711 ISSN=2296-2360 ABSTRACT=Simulation based training (SBT) plays a pivotal role in quality improvement and patient safety. Simulation is not only for training health care professionals but also an excellent tool for systems and facility changes which will potentially improve patient safety and ultimately outcomes. SBT is not only well-established training modality, but it also used as a quality improvement tool in high income countries. Whereas it’s use in low and middle-income countries (LMIC) including India is sporadic and variable because of several barriers. Th barriers for establishment of simulation are lack of knowledge about benefits of simulation, psychological resistance, cost and lack of trained faculty. PediSTARS (Pediatric Simulation Training and Research Society), a simulation society was founded in August 2013 to spread the simulation across India and thus improve the quality and safety of health care using SBT. In this article we will discuss various barriers for healthcare simulation in India and also our attempts to overcome some of these barriers by collaborative practice.