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AbstractCourse Overview: The National Council of State Boards of Nursing (NCSBN) is completing the first phase of a multi-year, multi-site national study evaluating the use of varying levels of simulation as substitution for up to 50% of the usual clinical time, in 10 pre-licensure US nursing programs. We describe the study design, assessments, and evaluations being used during the study, and the preliminary results. Learning Objectives: 1. Analyze the study design and rationale for the NCSBN National Simulation Study. 2. Evaluate the preliminary findings from the first year of the study. 3. Explain the student assessments and evaluations occurring throughout the study.