High fidelity simulation has emerged as an important technological method for learning and teaching in complex clinical scenarios of specialized areas, enabling to develop both technical and non-technical skills. The experience described is related to the curricular insertion of high fidelity simulation in fourth and fifth grade of undergraduate medical students (2018-2019) of the Faculty of Medicine Universidad Peruana Cayetano Heredia (UPCH) with the objective to establish diagnoses, request and interpret auxiliary tests, establish and evaluate the response to an initial treatment and establish effective communication with other health professionals, through the use of clinical scenarios with highly complex simulators, emphasizing debriefing with immediate good judgment, providing insights into the learning objectives of each case and concluding the sessions with the learning experienc...

Background: Obstructive Sleep Apnea (OSA) is often undiagnosed in heart failure (HF) patients. Early identification using affordable sleep studies could improve patient outcomes in resource-limited clinical settings like Peru. The objective was to determine the frequency of OSA in hospitalized HF patients using respiratory polygraphy (RP) (Sleep Study Type III). Materials and methods: A cross-sectional study was conducted. We included patients >18 years, hospitalized with exacerbated HF, and a STOP-BANG score ≥ 3. Enrolled patients underwent overnight RP using ApneaLink Air™. Data collected included clinical parameters, the Epworth Sleepiness Scale, and echocardiography results. Statistical analysis was carried out using R Studio. Results: Of 46 enrolled patients, 39 underwent successful RP; 84.61% were diagnosed with OSA. Patients exhibited a mean Apnea-Hypopnea Index (AHI) of 14...