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High-fidelity clinical simulations are incorporated into the curriculum and used in conjunction with traditional clinicals and classroom instruction. A high-fidelity simulation laboratory is equipped with computerized, interactive, life-sized manikins that can be programmed to provide realistic patient responses and outcomes to nursing care. This simulation equipment mimics body functions and disorders and recreates a clinical scenario in a safe, controlled environment where students can make mistakes and learn from them. Students have increased opportunities for learning rather than relying on the ad hoc nature of a hospital day to provide needed experiences. A debriefing following the scenarios allows for reflective learning.