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My Time as Editor-in-Chief: What a Long Strange Trip It's Been.

It has been public knowledge for more than 6months that I would be retiring frommy post of 11 years as editor-in-chief (EIC) of Simulation in Healthcare by mid 2016. However, it is quite likely that many readers of the journal have remained unaware of this change. In this issue of Simulation in Healthcare, both I and the new EIC, Mark Scerbo, PhD, will be providing our individual perspectives on the journal. Mine will be mostly reminiscences about its formation and history. Dr. Scerbo took over as EIC on July 1, 2016; however, we decided that it would make sense for me to remain as the effective EIC for most papers that were first sent for peer review or accepted under my watch. Mark will be the assigning and deciding EIC for all submissions that first arrive at the journal on or after July 1. Whenever appropriate, we will consult with each other. Perhaps, readers wonder why I decided to retire from my EIC position. Eleven years is a long time. Although being EIC is both an honor and intellectually interesting, it is also hard work that—sort of like clinical work—is never done. And, although I stopped doing clinical work 6 years ago (after 27 years of paying my dues, daytime and on-call, as an academic anesthesiologist at Stanford, working clinically at VA Palo Alto Health Care System) I have two real “day jobs” as (1) Associate Dean for Immersive and Simulation-Based Learning at Stanford School ofMedicine, where I oversaw/see the design, building, and operation of a 28,000 ft simulation center at Stanford (the largest by far of the five simulation centers in the Stanford family), and as (2) the founder and co-director (withmy long-time academic partner Steve Howard) of the Simulation Center at VA Palo Alto originally opened in 1995. Over the next year, our VA Palo Alto Center will move into its own 9000 ft building that I designed. I also teach in many simulation instructor courses and courses for anesthesiology residents andmaintenance of certification in anesthesiology. I am significantly involved in various simulation research projects, and I mentor many more junior colleagues from all disciplines and domains in pursuing their own simulationbased research. And, I continue to write scholarly works about patient safety and simulation. So, I have plenty to keep me busy! I decided that after an exciting 11 years at the helm of the journal, it was time for me to step back and also that it was appropriate to finally get some “new blood” in the position. Any endeavor such as this periodically needs new (often younger) people with fresh ideas and a fresh eagerness to address them. Some readers may fear or hope that I am riding off into the sunset with no more connection to the journal. Happily for me (you may have your own feelings), I will be staying on the editorial board. In fact, the board of directors of the Society for Simulation in Healthcare (SSH) has just voted to establish the position of “Founding Editor-in-Chief” for me, and I will appear on the journal's masthead in that capacity. I have volunteered to be an advisor to the EIC, associate editors (AEs), and managing editor at their discretion. Eleven years ago, I was selected as the first EIC of the then new peer-reviewed scholarly journal of the Society for Medical Simulation, but the name was changed fairly quickly to the Society for Simulation in Healthcare. Interestingly the journal always carried the word “healthcare” in its title rather than the words “medicine” or “medical.” I was chosen from a short-list of two candidates; both of us were well qualified. As I recall, I was told that by all accounts, it was a close vote. The other candidate has gone on to be heavily involved with SSH in other leadership roles. I am grateful that I was selected as EIC, and I appreciate the trust that the society vested in me for more than a decade.