The study discusses the purpose, tasks and main directions of simulation education in modern medical universities. We formulated the main directions of simulation training in modern conditions and gave a brief description of the possibilities of dummies and the simulation center itself: theoretical and practical training, simulation trainings, use of educational materials, debriefing, master classes, seminars and lectures, competitions and Olympiads, use of feedback devices, questionnaires, etc. We briefly described each learning method with advantages and existing disadvantages and paid attention to the training of the population in first aid skills. In conclusion, we presented the key advantages and disadvantages of simulation training: legislative regulation, cost of purchase of equipment and its maintenance, a wide range of competences of the teacher in terms of preparation for classes and adjustment of phantom, the need for programmers, engineers and laboratory technicians, issues of selection of the appropriate dummy among the line of domestic and foreign products. For each problem, we proposed ways to overcome it, as well as recommended various methods of training in simulation centers. The study will be useful for students and teachers of medical universities, as well as for doctors undergoing postgraduate training.