Scope of practice is the one thing generic simulation gets wrong. A platform built for American nursing will happily let an Alberta Health Care Aide push IV medication. SimMedAi resolves every learner to their real role, regulator, governing law and privacy statute in their own jurisdiction, and grades against that.
Updated August 2026
The same role carries a different title, regulator, legislation and exam depending on where the learner is. A Health Care Aide in Alberta is a Personal Support Worker in Ontario, a Continuing Care Assistant in Nova Scotia and Saskatchewan, a Préposé aux bénéficiaires in Québec, and a Certified Nursing Assistant in the United States. Each one sees their own title, their own regulator and their own governing law — not Alberta's with the noun swapped.
Coverage is 64 jurisdictions: all 13 Canadian provinces and territories plus all 50 US states, each mapped to its profession title, regulatory body (College of Nurses of Ontario, College of Registered Nurses of Alberta, BC College of Nurses and Midwives, a US state Board of Nursing), governing legislation, privacy law (Health Information Act, PHIPA, HIPAA), measurement units and certification exam.
When a learner attempts an act outside their legal scope, the simulation reacts realistically and the attempt is scored against the statute that governs it — for example a controlled act under Ontario's Regulated Health Professions Act. A dedicated scope-fidelity dimension reports adherence with citations, so a program can show an accreditor what was assessed and against which authority.
Exam questions, scenarios and OSCE stations carry the profession and regulatory body they were authored for, and neutral content is written with jurisdiction tokens that render per viewer. A student in New York never sees a station that quietly assumes Alberta privacy law, and a renamed role sees its own title in the attribution chip.
Because a simulation that lets an out-of-scope action succeed teaches the wrong lesson and cannot be used as evidence of competency. Regulators assess practice within a legal scope, so assessment has to be bound to the same scope.
64: all 13 Canadian provinces and territories plus all 50 US states, each mapped to its own profession title, regulator, governing legislation, privacy law, units and certification exam.
The scenario responds realistically instead of quietly allowing it, and the attempt is scored on a scope-fidelity dimension with a citation to the governing legislation.