SFEBES2022 Poster Presentations Metabolism, Obesity and Diabetes (96 abstracts)
1Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom; 2College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom; 3University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom; 4Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom
Introduction: Simulation via Instant Messaging - Birmingham Advance (SIMBA) is a simulation learning modality designed to recreate real-life clinical scenarios, in a safe environment to help improve participants confidence in solving such cases.
Objective: To study SIMBAs effectiveness in improving confidence in managing obesity-related cases and whether the country of residence and modality of attendance influence change in confidence.
Methods: Participants solved four obesity-related cases via Whatsapp in real-time. Moderators used standardised transcripts, developed using anonymised patient notes and presented to participants in an interactive live-simulation which involved clerking, diagnosing and managing a patient. Following simulation, a specialist chaired an interactive session to answer participants queries about simulated cases, both in-person and via Zoom. The change in participants confidence levels before and after simulation was measured using the Wilcoxon signed-rank test. We compared the difference between participants based on their country of residence and mode of attendance using Kruskal-Wallis test.
Results: 27 participants completed both surveys and were divided into three groups (A=UK in-person (n=12); B=UK virtual (n=6); C=non-UK virtual (n=9). There was a significant improvement in confidence for simulated (37.0%, P<0.001) and non-simulated (13.0%, P<0.001) cases, with higher improvement in simulated cases. Improvements were seen in clinical competencies (55.5%), patient management (85.1%), practice-based learning (70.3%), system-based practice (51.8%), professionalism (33.3%), and communication (25.9%). Majority of participants rated the session as excellent/good (96.3%), engaging (92.6%), personally (92.6%) and professionally (85.2%) impactful, and accommodated their personal learning style (85.2%). While all groups showed significant improvement in confidence (P-values-A-<0.001; B=0.002; C=0.002), there was no difference between the groups for both pre- (P=0.273) and post- (P=0.840) session.
Conclusion: SIMBA has the potential to be the future of post-graduate medical education and continued professional development in both in-person and virtual settings without compromising quality.