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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 patientdoi:10.21203/rs.2.17425/v1 fatcat:g6kk4pjh5rf7vcootcu73grrzm