 This study investigated the effectiveness of a simulation-based learning course on the perception of physical therapy students' ability in clinical decision-making and clinical skills. The results showed that the course significantly increased students' perception of their ability in both areas, as well as their confidence in making clinical decisions. Additionally, the majority of students reported that simulation was a valuable learning experience. This article was authored by Fabian Bizama, Mansour Alamri, Christy Jean de Meurs, and others.