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train doctors, dentist, nurses and works with collaboration with the University of Birmingham and medical School . Hollier Centre specializes in a high fidelity simulation .Medical students were briefed before the scenario and were aware of their expectations and their learning outcomes after the scenario. Two students were send at one time into a room with simulated patient [high fidelity mannequin] and a nurse to help the students. Scenario was played as preset clinical presentations and mannequin was controlled by a computer in behind a glass wall. Scenario was recorded and played live in the room for rest of the cohort. Fidelity is the extent to which true appearance and behavior match with a simulated environment. The simulation at Hollier is a high fidelity simulation with computer-driven programs to control cardiovascular and respiratory function in the mannequin it allows students to interact as they would do in real life situations. Miller (1954) describe two types of fidelity- physical fidelity and physiology fidelity. These principles were applied using the scenario at Good Hope hospital. Physical In relation to environment and equipment used Psychological In relation to the applicability of the scenario to real world and progression of events in scenario vs. real world Use of interactive high fidelity human patient simulator The scenario was based on a real world patient also used in ATLS assessment The room – recreation of a hospital ward with controllers / teacher located in a separate room behind a two-way mirror The time taken for deterioration similar to what would be expected in real world Equipment – All equipment necessary were made available as required Hierarchy of senior support available similar to most NHS hospitals Figure 1: Means by which high physical and psychological fidelity w>GET ANSWER