Deep learning is a growing field, and although the connection between simulation-based learning (SBL) and deep learning is evident, there is insufficient knowledge to explain how deep learning occurs in SBL. The current case-study examined SBL as a model for deep learning. Participants were 68 teachers who participated in an SBL workshop. Triangulation was achieved using reflections, interviews, and focus groups. Through open content analysis, findings indicated that deep learning using SBL occurs via three dimensions: the cognitive, the interpersonal, and the intrapersonal. These results enhance our understanding of deep learning and the factors that promote and inhibit such learning.