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High levels of paramedic students' satisfaction and self-confidence in simulation activities were reported. Generally, the paramedic students' demographics were associated with the satisfaction and self-confidence variables with -values ≤ 0.04. Emergency medical care training undertaken by the paramedic students was significantly associated with self-confidence ( = 0.0. Clinical simulation can bridge the theory-practice gap for paramedic students. It is a hands-on approach that promotes students learning of clinical skills through r