MedSMART is a not-for-profit company devoted to simulation-based training of civilian and military medical personnel (physicians, nurses, and paramedics). MedSMART offers global accessibility and unprecedented affordability by using Human Patient Simulators (HPS) either in hands-on or distance training environments; it also provides training in field management of combat trauma, disaster, and CBRNE field casualty care. The principles of Advanced Distributed Learning and Distributed Interactive Simulation implemented by MedSMART permit us to train medical personnel deployed worldwide. Also, MedSMART conducts its own academic research on the effects of simulation on medical performance, reduction of medical errors, human factors in medicine, and the development of virtual reality-based medical simulation systems. Consulting functions in all these areas are a part of MedSMART's activity portfolio.