The story of Sam: an ethical dilemma in simulation-based education

The involvement of young people in simulated patient (SP) roles requires attention to a plethora of potential areas where harm can occur. Multiple individuals are involved in this process, and their engagement is crucial to safeguarding the young person’s welfare. The need to protect their well-being and psychological safety whilst adhering to ethical principles, safe practice and developmentally appropriate interactions is discussed through the story of Sam. As a young SP involved in role playing a challenging situation, Sam’s story relays important messages for those engaging young SPs.