en آموزش پزشکی Medical Education نامه به سردبير Editorial <span style="line-height:2;"><span style="font-family:Times New Roman;"><span style="font-size:16px;">The integration of generative Artificial Intelligence (AI) into medical simulation education has shifted the field from verified, static models toward intelligent and dynamic systems. This letter identifies the &lsquo;Validation Paradox&rsquo; as a critical concern, highlighting how algorithmically generated content may produce &lsquo;pedagogical hallucinations&rsquo;&mdash;prioritizing narrative engagement over adherence to evidence-based clinical protocols&mdash;and potentially contributing to flawed clinical reasoning patterns over time. Real-time clinical guardrails and a Dynamic Accreditation Model are proposed to safeguard patient safety and educational integrity.<br> <br> &nbsp;</span></span></span> artificial intelligence, medical sciences education, clinical simulation, precision realism, pedagogical integrity, virtual reality 131 132 http://edujournal.zums.ac.ir/browse.php?a_code=A-12-3413-2&slc_lang=en&sid=1 Ehsan Toofaninejad somayehshapoori@gmail.com 5300319475328460037203 5300319475328460037203 No Department of E-Learning in Medical Sciences, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical Sciences, Tehran, Iran Somayeh Shapoori e.toofaninejad@sbmu.ac.ir 5300319475328460037204 0009-0003-1248-6319 Yes Department of E-Learning in Medical Sciences, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical Sciences, Tehran, Iran Maryam Nobakht M.nobakht@sbmu.ac.ir 5300319475328460037205 0009-0008-1519-457X No Department of E-Learning in Medical Sciences, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical Sciences, Tehran, Iran