DOI: https://doi.org/10.36347/sasjm.2025.v11i05.032

Pages: 558-563

Telemedicine has significantly expanded access to care, particularly in underserved and remote regions. This transformation requires that medical education be adapted to prepare providers for the effective use of telemedicine. Simulation-based education, by replicating realistic clinical scenarios in a controlled environment, offers a pedagogically sound method for developing both technical and decision-making competencies without compromising patient safety. Accordingly, this systematic review aims to examine the existing literature on simulation in telemedicine training, with the objective of identifying best practices and effective pedagogical strategies to enhance the preparedness of healthcare professionals. This study presents a systematic review conducted in accordance with PRISMA 2020 guidelines. A comprehensive search was carried out in PubMed and SCOPUS for original articles published between 2018 and 2023. The review focused on studies describing simulation-based training in telemedicine, aiming to identify effective pedagogical strategies, challenges, and outcomes. Data were extracted on study objectives, target populations, instructional content, simulation settings, and assessment methods. Given the heterogeneity of findings, a qualitative synthesis was performed. From an initial pool of 762 records, 22 studies were included in this review, primarily conducted in the United States and involving medical residents, students, and nursing trainees. These studies explored diverse applications of simulation in telemedicine education, including emergency response, chronic disease management, interprofessional collaboration, and technical troubleshooting. Simulations were typically preceded by didactic sessions and followed structured scenarios with briefing, execution, and debriefing phases. Assessments—mostly pre- and post-simulation—revealed significant improvements in participants’ confidence, communication, remote examination skills, and interdisciplinar