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Background: Health care providers must achieve and maintainthe required competen cyin provid ing services to patients ; even more so in complex and stressful situation s . Medical simulation is a method to facilitate training and assessment of clinical skills in medical students and physicians . This method has been implemented and recognized in many area s outside medicine, but because of various problems this method is relatively difficult to apply in the field of medicine. Methods: The design of this study was cross-sectional with quantitative method. S tudy participant s were the fourth year students of Atma Jaya Catholic University of Indonesia, School of Medicine. Simulation-based learning (SBL) was implemented by a 2-day workshop. Participants were given a pretest and posttest to assess the cognitive aspect of their clinical skills, and assessment of case simulation using O bjective S tructured C linical E xamination (OSCE) and T eam O bserved S tructured C linical E xamination(T OSCE ) for their clinical and soft skills. Result s : The difference of the knowledge before and after the intervention was not significant(p = 0,071). However, there was a significant difference of the clinical skills (p < 0,001) and soft skills (p < 0,001 ) . Conclusion: Using SBL as a learning method can increase clinical skills and soft skills of the students significantly. To a smaller extent, using simulation based learning as learning method can increase knowledge of the students about SBL and cognitive aspect of clinical skills although it i s statistically insignificant.

EVALUATION OF THE IMPLEMENTATION OF SIMULATION-BASED LEARNING IN FOURTH YEAR MEDICAL STUDENTS OF ATMA JAYA CATHOLIC UNIVERSITY OF INDONESIA