Introduction
Simulation-based education enhances clinical competence and confidence in physician associate (PA) students. However, PA programs often face barriers in establishing a structured simulation curriculum.

Methods
We designed and implemented a foundational simulation curriculum at our PA program. Key components included the development of case scenarios aligned with didactic coursework, simulation equipment, faculty training sessions, interdisciplinary collaboration, and standardized patient (SP) workshops. Simulation activities were mapped to clinical objectives across systems-based modules.

Results
Over one academic year, structured simulation sessions were delivered across multiple organ systems. Faculty reported improved student engagement and diagnostic reasoning. Students demonstrated increased comfort with clinical communication, teamwork, and diagnostic skills as measured by reflective evaluations and structured feedback tools.

Discussion
Building a successful simulation curriculum enhances the PA student learning, retention, and engagement. Focusing on communication and critical thinking, and integrating interprofessional support (e.g., nursing faculty, standardized patients) were key factors in successful implementation. Faculty Development and curricular scaffolding were critical for sustainability.

Conclusion
Sharing lessons learned from the design, launch, and initial outcomes may support other institutions in developing their own simulation-based training frameworks, thereby enhancing the PA student learning experience.