Looking at all the screenshots up here, I can see why we are all in such trouble in this profession. For there to be that much detail and realism on the simulators, people have to be really into it. And if they're really into playing a computer game, the idea of the real thing must seem irresistible, regardless of how little they will get paid.
I should start looking into returning to my former medical school plans....
(BTW, I'm not knocking simulators or the folks who play them AT ALL! Nothing wrong with simulators - it's just hard to be a professional in a career where people simulate your job, with a relatively high degree of realism, just for fun.)