Simulation-based instruction: student enjoyment of a computer-based practical activity

IntroductionComputer-based simulation has become an innovative modality in medical education over recent years, especially for practical and laboratory-based training [1,2].These interactive online modules simulate real-life clinical scenarios so that students can study complex physiological signs in a well-organized, educational, and student-oriented learning process [3].Unlike traditional practical sessions, which may be limited by time, space, or resources, computer-based simulations offer innovative solutions that accommodate a large number of students while maintaining educational integrity [4,5].Simulation also provides opportunities for independent learning, prolonged practice, and immediate feedback, which are critical to the development of competence and confidence in undergraduate learners [6].In addition to the limited access to patients, the recent shift toward simulation-based learning in practical sessions is driven by the need to integrate theory with practice in ways that