Musculoskeletal (MSK) conditions are the number one reason Veterans seek treatment at VA facilities, consistently ranking among the most common causes for all outpatient visits and accounting for a significant proportion of these visits. Studies suggest that over 60% of veterans seeking outpatient care at VA facilities report some form of MSK condition. Despite this high prevalence, numerous reports have concluded that primary care providers lack the confidence to effectively address these common problems due to gaps in their training. Primary care physicians typically receive MSK training early in medical school, with limited opportunities to apply these skills during residency, which focus primarily on inpatient care. Similarly, nurse practitioners (NPs) and physician assistants (PAs) often receive limited training in MSK diagnosis and management during their education. Consequently, providers may lack confidence in diagnosing and managing MSK disorders, leading to unnecessary advanced imaging and specialist referrals. This issue is particularly evident in the VA system due to the higher incidence of MSK disorders among Veterans, stemming from MSK trauma and overuse during their military careers. The training gap and high prevalence of MSK conditions contribute to delayed diagnosis and management, resulting in Veterans experiencing long wait times and multiple appointments. Ultimately, Veterans may return to their primary care providers after months of delays only to receive the diagnosis and initiate treatment. The MSK Clinician Training Course is a specialized simulation program designed to enhance primary care provider’s knowledge, skills and confidence in managing common MSK conditions.