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Telehealth enhances communication across distances, facilitates teamwork, and increases access to care, particularly in rural areas. As the use of telehealth technology assimilates into clinical practice, its integration is also needed in clinical curricula. This project assessed the feasibility and acceptability to engage distancebased students in pediatric clinical simulations using a telepresence robot. Students participated in two pediatric scenarios in teams of three to four prelicensure nursing students, with one nurse practitioner student participating via a telepresence robot. Forty-eight prelicensure and 5 nurse practitioner students completed surveys following clinical simulations. It was feasible to use a telepresence robot as a tool in clinical simulation, and students reported high mean scores on the feasibility and acceptability of using the robot. Although there are challenges, incorporating telepresence technology into simulations opens up many opportunities for student engagement with patients and other clinicians, and affords students with an opportunity to actively participate in their distance-based education.