Introduction : Simulation-based education (SBE) with high-fidelity simulation (HFS) offers medical students early exposure to the clinical environment, allowing development of clinical scenarios, management, and teamwork skills. We hypothesized that supplementation of standard pulmonary physiology curriculum with HFS would improve the performance of first-year medical students on written tests of pulmonary physiology. Methods : This pilot study included SBE with three HFS scenarios of patient

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... re that highlighted basic pulmonary physiology. First-year medical students' test scores of their cardio-pulmonary curriculum were compared between students who participated in SBE versus only lecture-based education (LBE). A survey was administered to the SBE group to assess their perception of the HFS. Results : From a class of 188 first-year medical students, 89 (47%) participated in the SBE and the remaining 99 were considered as the LBE group. On their cardiopulmonary curriculum test, the SBE group had a median score of 106 [IQR: 97,110] and LBE group of 99 [IQR: 89,105] (p<0.001). For the pulmonary physiology subsection, scores were also significantly different between groups (p=0.014). Conclusion : Implementation of supplemental SBE with HFS could be an adequate technique to improve learning enhancement and knowledge retention in preclinical medical students. background The preclinical core of medical education has traditionally been based on lectures and textbooks (1). Recently, significant developments in technology (computers,