Table 1

Changes in participants’ confidence levels postsimulation in their approach to simulated cases comparing SIMBA Acute Medicine 1.0, 2.0 and 3.0 (A) and as subgroups defined by the level of training (SHO and below, and registrar and above) (B), shown with p values

SessionSimulated acute medical presentation (case number)Confident (%)Unsure (%)Not confident (%)Significance
SIMBA AM 1.0 (n=37)Palpitations (case 1)18.90−18.900.000.0156*
Shortness of breath (case 2 and 3)18.90−18.900.000.0156*
Nausea and vomiting (case 4)16.20−*
SIMBA AM 2.0 (n=15)Abdominal pain (case 1)6.70−6.700.001.0000
Confusion (case 2)13.30−13.300.000.5000
Fever (case 3)6.70−6.700.001.0000
Diarrhoea (case 3)33.30−33.300.000.0625
Lethargy (case 4)6.70−6.700.001.0000
Nausea and vomiting (case 4)20.00−
SIMBA AM 3.0 (n=23)Collapse (case 1, 2 and 3)47.80−47.800.000.0010*
Fever (case 2 and 4)30.40−30.400.000.0156*
Overall (n=75)20.60−20.600.00p<0.0000*
GroupSessionSimulated casesConfident (%)Unsure (%)Not confident (%)Significance
SHO and belowSIMBA AM 1.0 (n=15)Combined31.10−*
SIMBA AM 2.0 (n=6)Combined30.60−30.600.000.0074*
SIMBA AM 3.0 (n=18)Combined41.70−41.700.000.0001*
Overall (n=39)34.20−*
Registrar and aboveSIMBA AM 1.0 (n=22)Combined9.09−*
SIMBA AM 2.0 (n=9)Combined3.70−3.700.000.6250
SIMBA AM 3.0 (n=5)Combined30.00−
Overall (n=36)8.50−8.500.000.0034*
  • *p<0.05.

  • AM, acute medicine; SHO, senior house officer.