ABSTRACT
Simulation-based learning is a useful teaching modality to develop clinicians' knowledge and skills, while protecting patients from harm.1 While simulation has traditionally occurred via face-to-face role play, many of its principles can be adapted for remote learning. The aim of this study was to explore the effectiveness of Simulation via Instant Messaging - Birmingham Advance (SIMBA) as a model of virtual simulation-based medical education during the COVID-19 pandemic. There was a significant improvement in selfreported confidence in participants' approach to the simulated cases (overall (204;p<0.001);adrenal (33;p<0.001);thyroid (37;p<0.001);pituitary (79;p<0.001);inflammatory bowel disease (17;p<0.001);acute medicine (38;p<0.001)).
ABSTRACT
BACKGROUND: Simulation via Instant Messaging - Birmingham Advance (SIMBA) aimed to improve clinicians' confidence in managing various clinical scenarios during the COVID-19 pandemic. METHODS: Five SIMBA sessions were conducted between May and August 2020. Each session included simulation of scenarios and interactive discussion. Participants' self-reported confidence, acceptance, and relevance of the simulated cases were measured. RESULTS: Significant improvement was observed in participants' self-reported confidence (overall n = 204, p<0.001; adrenal n = 33, p<0.001; thyroid n = 37, p<0.001; pituitary n = 79, p<0.001; inflammatory bowel disease n = 17, p<0.001; acute medicine n = 38, p<0.001). Participants reported improvements in clinical competencies: patient care 52.0% (n = 106/204), professionalism 30.9% (n = 63/204), knowledge on patient management 84.8% (n = 173/204), systems-based practice 48.0% (n = 98/204), practice-based learning 69.6% (n = 142/204) and communication skills 25.5% (n = 52/204). CONCLUSION: SIMBA is a novel pedagogical virtual simulation-based learning model that improves clinicians' confidence in managing conditions across various specialties.