Transferring classroom learning to real-life situations is a challenge. Tabletop simulation exercises offer a low-cost and context-specific approach for educating students on appropriate responses during health emergencies.

This randomized controlled trial will evaluate the effectiveness of simulation-based training versus traditional lecture methods in enhancing outbreak investigation skills among medical students.

This randomized controlled trial will assess the efficacy of simulation-based training compared to conventional lecture methods in improving medical students' outbreak investigation skills. it will be Conducted at CMH Lahore Medical College over nine months, the trial will include 4th year MBBS students with no prior outbreak investigation training. Participants will be randomized into two groups: an intervention group undergoing simulation-based exercises and a control group receiving traditional lectures.

Inclusion Criteria:

• 4th year MBBS students at CMH Lahore Medical College without prior outbreak investigation training,
• willing to participate and providing informed consent.

Exclusion Criteria:

• students with supplementary exams
• unwillingness to participate, or
• scheduling constraints.