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Simulation-Based Medical Education: An Ethical Imperative. Acad Med 2003; 78:783–8. Georgian Scientists/ . 6 N 3, 2024 203 Bioethical approaches in simulation teaching Irma Manjavidze M.D., PhD; Pirdara Nozadze M.D., PhD; Dali Chitaishvili M.D., PhD; Lia Otiashvili M.D., PhD Tbilisi State Medical University Abstract: The paper discusses the main issues and bioethical approaches that should be taken into account during simulation teaching. It is important to know the basic principles of the special Code of Ethics builds upon the fundamental values and practices expressed by the United Nations Development Program and other professional associations. During simulation training in medical education, it is important to note that it is one of the additional methods in medical education and "can never replace clinical practice." In medical education, the goal, the target audience, should be clearly defined in order to answer specific questions using role play. It is also discussed why simulation teaching is based on "ethics and bioethics", on which the effectiveness of teaching depends. The role of the standardtised patient and consideration of ethical principles in the relationship with them are also discussed Key words: ethics, bioethics, simulation, simulation-based medical education, standard patient.