The largest urban health simulation and training facility of its kind, NYSIM offers training for New York University (NYU) medical students, City University of New York (CUNY) health science students and first responders. The 25,000 SF center was created by a public-private partnership between CUNY and NYU Langone Medical Center. Located within Bellevue Hospital, its mission is to improve skills and provide learners the opportunity to review and reflect on training experiences. The center is divided into four wings around a central reception lounge. The west wing is home to reconfigurable multipurpose rooms. The north wing features five simulation rooms, each with its own control room. The east wing contains 14 office-style examination rooms which faculty can observe through one-way glass or live video feed. The south wing contains administrative offices and facilities for visiting faculty. Training covers key scenarios such as multiple patient triage, incident command, home-bound patient nursing care and clinical and surgical emergencies. The center is equipped with over 20 high-tech mannequins and more than 100 cameras to record training sessions for playback during student debriefing sessions. Conference and classroom space is also available to participating institutions.