Sustained clinical knowledge improvements from simulation experiences with Simulation via Instant Messaging-Birmingham Advance.
Zhou, Dengyi Davitadze, Meri Ooi, Emma Ng, Cai Ying Allison, Isabel Thomas, Lucretia Hanania, Thia Blaggan, Parisha Evans, Nia Chen, Wentin
Zhou, Dengyi
Davitadze, Meri
Ooi, Emma
Ng, Cai Ying
Allison, Isabel
Thomas, Lucretia
Hanania, Thia
Blaggan, Parisha
Evans, Nia
Chen, Wentin
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2023-03-22
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Abstract
Background: Simulation via Instant Messaging-Birmingham Advance (SIMBA) delivers simulation-based learning through WhatsApp and Zoom, helping to sustain continuing medical education (CME) for postgraduate healthcare professionals otherwise disrupted by the coronavirus (COVID-19) pandemic. This study aimed to assess whether SIMBA helped to improve clinical knowledge and if this improvement in knowledge was sustained over time.
Methods: Two SIMBA sessions-thyroid and pituitary-were conducted in July-August 2020. Each session included simulation of various real-life cases and interactive discussion. Participants' self-reported confidence, acceptance, and knowledge were measured using surveys and multiple-choice questions pre- and post-simulation and in a 6- to 12-week follow-up period. The evaluation surveys were designed using Moore's 7 Levels of CME Outcomes Framework.
Results: A total of 116 participants were included in the analysis. Significant improvement was observed in participants' self-reported confidence in approach to simulated cases (thyroid, n = 37, P < .0001; pituitary, n = 79, P < .0001). Significant improvement in clinical knowledge was observed following simulation (thyroid, n = 37, P < .0001; pituitary, n = 79, P < .0001). For both sessions, retention of confidence and knowledge was seen at 6-12 weeks' follow-up.
Conclusions: SIMBA increased participants' clinical knowledge on simulated cases and this improvement was retained up to 6-12 weeks after the session. Further studies are required to explore long-term retention and whether it translates to improved real-world clinical practice.
Citation
Zhou D, Davitadze M, Ooi E, Ng CY, Allison I, Thomas L, Hanania T, Blaggan P, Evans N, Chen W, Melson E, Boelaert K, Karavitaki N, Kempegowda P; SIMBA and CoMICs team. Sustained clinical knowledge improvements from simulation experiences with Simulation via Instant Messaging-Birmingham Advance. Postgrad Med J. 2023 Mar 22;99(1167):25-31. doi: 10.1093/postmj/qgac008
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