This paper reports the results of three studies of a five year project that examined the logistics, training events, and outcomes associated with using civilian medical simulation centers as training venues for Reserve Component (RC) medical units. The studies were based on the need for clinical skills, and especially team-based skills, to be sustained through periodic training. In the absence of resources to support unit-level patient simulators and the distances in-volved for using the Army's Medical Simulation Training Centers, RC units might meet this training need by using civilian simulation centers close to their locations. The studies showed that in terms of logistics, units could readily access a regional center and engage in one-day training events. A variety of training strategies were examined, but the model that emerged was that the focus should be on team-based care of combat casualties presenting to level II/III health care facilities. Outcomes were examined in terms of the clinical task and teamwork performances of the care provider teams, the roles of unit trainers, and factors affecting the quality of the after-action reviews (AARs). The results of the three studies are summarized, and key observations and recommendations for using civilian medi-cal simulation centers for RC medical unit training are provided.