<p>We recently read the article ‘Learning Last Hours of Life Care Through Patient Simulation Scenario: Experiences of Medical and Nursing Undergraduate Students’ by Bernabé et al. [1]. Undergraduate palliative care teaching requires improvement and the use of simulation to improve teaching in palliative care is an interesting and relatively novel area of the undergraduate medical curriculum. We have considered the following areas for improvement in student outcomes as well as realism: the most appropriate setting should be considered given interns may not commonly be performing home visits; cultural factors are integral to consider given their significant influence on palliative care interactions; and increasing participation in the scenario to maximise benefit for all attendees. We also looked at the positive aspects of the study, including standardised patient use, when writing a letter in response. We would be interested to see further details regarding the themes and outcomes from the debrief alongside further research into this area in the future.</p>