Background:
The use of high- fidelity patient simulation (HFPS), computerized mannequins, is well- established in postgraduate medical education but its use as an undergraduate education tool in the literature is scarce. This review aims to search for evidence of the use of HFPS in undergraduate medical education.

Material and Methods:
A literature search was conducted on MEDLINE and Embase. The search terms used were: “patient simulat*” AND “medical education” and only English articles were included. From a pool of 730 papers, only articles that discussed the use of HFPS as an educational intervention or assessment tool and discussed undergraduate medical students were included.

Result:
Of the 46 articles analysed, 28 were from the USA, 6 from Canada, 3 from the UK, 3 from Germany, 2 from Singapore and 1 from each of Switzerland, Poland, Hong Kong and France. 12 involved comparative research, comparing HFPS with another educational tool. 11 focused on the use of HFPS as assessment tools. 37 described the use of HFPS as an educational intervention, 22 of which measured quantitative learner outcomes. At the undergraduate level, HFPS is used for; patient safety training, particular in combination with intraprofessional learning, teaching resuscitation skills, as assessment tools and in teaching basic sciences.

Conclusion:
HFPS may offer superior transfer of clinical skills compared to low-fidelity simulators, can closely mimic live-actor patients and is well-received by medical students. As the infrastructure for simulation centers is already established, the lack of data to support HFPS is impeding its integration into the undergraduate curriculum