BACKGROUND:
The COVID-19 pandemic profoundly transformed healthcare education, requiring a rapid shift from in-person instruction to remote teaching. Within this new educational context, telesimulation has emerged as a valuable strategy for clinical education, especially during emergencies when in-person practical training is limited or not feasible.

OBJECTIVES:
To describe students’ perceptions of a telesimulation experience implemented in a 2021 Midwifery program for clinical training in Primary Health Care.

METHODS:
A convergent mixed-methods study was conducted with 16 eighth-semester midwifery students. A self-administered survey was used, consisting of 13 closed-ended Likert-scale items and one open-ended question. Additionally, a focus group was carried out with the same participants. Quantitative data were analyzed using descriptive statistics, while qualitative data from the focus group and the open-ended responses were analyzed using narrative methods.

RESULTS:
All participating students reported that telesimulation strengthened their clinical reasoning and decision-making skills. A majority (81.3%) expressed overall satisfaction with the experience. The students highlighted several key advantages: telesimulation provided a safe space to practice assuming professional roles, improved critical thinking, and allowed for meaningful feedback from instructors. They also recommended incorporating telesimulation alongside in-person simulation and including active breaks to enhance the experience and reduce fatigue.

CONCLUSIONS:
Telesimulation is a relevant and effective pedagogical tool in remote learning scenarios. Its implementation requires intentional planning and strong technical and pedagogical preparation from educators. While it cannot fully replace in-person simulation, it complements clinical training by fostering professional competencies and critical thinking. It can be integrated into hybrid learning models or serve as an emergency alternative when face-to-face education is not possible.

KEY MESSAGE:
Telesimulation enhances clinical reasoning and professional skills, making it an effective tool for both hybrid education and emergency remote training. Poster session 1 (Group A)