“…Simulation is gaining momentum in substituting reduced opportunities for hands-on clinical experience (Martins et al, 2018;NMC, 2019;Chitonga and Suthers, 2019). New, high-quality simulation equipment can lead to skills development for example, hip examination, particularly where clinical experience opportunities are lacking but is not a substitute for the real thing (Hall and Snowden 2018). Simulation for obtaining some of the EXON skills and competencies requires further research.…”