Devices, systems, and methods appropriate for use in medical training using a patient simulator and various anatomical inserts. One such system generally includes a patient simulator and an anatomical insert, the patient simulator including a simulated vascular system, and the anatomical insert being fluidically couplable to the simulated vascular system and including a simulated artery and a simulated vein. When the anatomical insert is fluidically coupled to the simulated vascular system, the simulated vascular system is adapted to pressurize the simulated artery and the simulated vein with a blood-like fluid to simulate natural arteries and veins. Moreover, when the simulated vascular system pressurizes the simulated artery and the simulated vein with the blood-like fluid, the simulated vascular system is adapted to provide a pulsatile flow of the blood-like fluid to the simulated artery and a steady flow of the blood-like fluid to the simulated vein.