Zhou, DengyiDavitadze, MeriOoi, EmmaNg, Cai YingAllison, IsabelThomas, LucretiaHanania, ThiaBlaggan, ParishaEvans, NiaChen, WentinMelson, EkaBoelaert, KristienKaravitaki, NikiKempegowda, Punith2024-01-092024-01-092023-03-22Zhou 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/qgac0080032-54731469-075610.1093/postmj/qgac00836947426http://hdl.handle.net/20.500.14200/3324Background: 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.en© The Author(s) 2023. Published by Oxford University Press on behalf of Postgraduate Medical Journal. All rights reserved. For Permissions, please email: journals.permissions@oup.com.EndocrinologyDiabetesBiochemistryArticle