<< Background >>The TRANSSIMED project was initiated to address critical gaps in vocational education and training for healthcare professionals in Southeast Europe, particularly in the field of primary care emergency response. In Slovenia, Croatia, and North Macedonia, professionals working in primary healthcare are only rarely exposed to life-threatening situations in their daily practice. This lack of exposure, coupled with insufficient simulation-based training, contributes to reduced confidence, teamwork inefficiencies, and ultimately, compromised patient safety. There was a clear need to establish a structured and sustainable system of simulation-based training for primary healthcare teams in partner countries. Professionals in Slovenia, Croatia, and North Macedonia lacked opportunities for regular, practical training in managing life-threatening situations, which led to reduced preparedness, low self-confidence, and increased safety risks for patients. At the same time, there was no established system for training the trainers in simulation education at the vocational level. Additionally, vocational education in the region did not fully align with international guidelines promoting simulation in healthcare education.<< Objectives >>The main aim of the TRANSSIMED project was to establish sustainable, competence-based education system using simulation methods in primary healthcare, with a particular focus on vocational training. We aimed to improve patient safety and the quality of care by enhancing the preparedness of healthcare professionals to manage life-threatening situations through realistic and ethical training environments. Specifically, we wanted to: -Develop a two-level competence model for trainers in simulation-based education; -Provide structured culturally adapted training for basic and advanced simulation trainers tailored to education systems in all partner countries; -Promote the use of innovative teaching methods, (simulation based and serious gaming); -Align simulation-based education methods in healthcare with European quality standards in education-Create a roadmap for implementing simulation-based education in other healthcare systems; -Raise awareness among policymakers and education providers about the importance of simulation in vocational education and training. -Achieve long-term implementation of simulation training in line with international standards. << Implementation >>1. We established a project office and a core board, ensuring regular online and in-person meetings for smooth coordination. 2. In Slovenia, we developed d piloted a two-level competence model for simulation educators and trained basic and advanced trainers from all partner countries. 3. Newly trained basic trainers then delivered simulation-based training to primary healthcare teams in Croatia and North Macedonia using locally adapted programmes.4. We developed a practical Handbook for institutions aiming to establish simulation-based education centres, and created the ABCDE mobile app (game) to support training in critical situations, following the internationally recognised assessment approach.5. We produced and presented a Roadmap to support the transfer of simulation-based education to other countries. 6. Dissemination included conferences, publications, national events, and a project website. All activities were supported by continuous evaluation and digital tools to ensure quality, accessibility, and sustainability.<< Results >>1. Two-level Competence Model: A validated framework for basic and advanced simulation trainers in primary care was developed to support scalable training.2. Training Programmes: Curricula for both levels included practical sessions, evaluation, and certification. Piloted in Slovenia, adapted for use and piloted in Croatia and North Macedonia.3. Locally Adapted Education: Training programmes were culturally and systemically tailored and delivered to primary healthcare teams in partner countries.4. Roadmap: A roadmap for stakeholders to establish simulation-based education in non-project countries.5. Handbook: A practical handbook for setting up training centres5. Digital Tools: We produced a serious game (ABCDE) , audiovisual materials, and digital content to support interactive and remote training.6. Network of Trainers: A cross-country network of trained educators and simulation institutions was established for future collaboration.7. Dissemination: Results were shared via EPALE, web page, national events, conferences, policy briefs, and a public online platform.
