Creating, Recognizing, and Using Learning Opportunities in Simulation-Based Education Helping participants learn with simulation benefits from combining relevant experience episodes in the simulation with reflective periods afterwards. To create a constructive learning atmosphere different, connected phases in simulation-based learning settings need to be jointly optimized. Participants and educators need an agreement about the relevance of simulation and establish an educational alignment. The presentation discusses how this alignment can be supported by the physical aspects of the setting, the conceptual basis, the content simulated, and the methods used in guiding participants through the simulation-based learning experience. The dynamic role of the educator in such a setting will be discussed and how they can balance the requirements of the participants, the curriculum, the commissioner and those, who should benefit from trained participants in healthcare: patients and their relatives, as well as healthcare colleagues.