ECE2023 Poster Presentations Reproductive and Developmental Endocrinology (108 abstracts)
Improved self-reported confidence levels to manage transitional endocrine cases following Simulation via Instant Messaging – Birmingham Advance (SIMBA) training
Tamzin Ogiliev 1 , Pavithra Sakthivel 2 , Mirna Elghobashy 2 , Anoushka Devi Bucktowar 2 , Abby Radcliffe 2 , Maiar Elhariry 2 , Anisah Ali 2 , Sangamithra Ravi 2 , Carina Synn Cuen Pan 2 , Sung Yat Ng 2 , Celia Akpeki 3 , Dengyi Zhou 4 , SIMBA and CoMICs Team 5 & Punith Kempegowda 5,6
1University of Plymouth, Faculty of Health, Plymouth, United Kingdom; 2University of Birmingham, College of Medical and Dental Sciences, Birmingham, United Kingdom; 3Whittington Health NHS Trust, London, United Kingdom; 4Imperial College London, Department of Metabolism, Digestion and Reproduction, Faculty of Medicine, London, United Kingdom; 5University of Birmingham, Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, Birmingham, United Kingdom; 6University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom
Introduction: Simulation via Instant Messaging – Birmingham Advance (SIMBA) is an online real-time simulation-based learning model which has proven to improve participants’ confidence in managing simulated cases in various conditions. Transitional endocrinology is a unique set of conditions which not only needs clinical skills but also requires excellent team working and communication skills. The aim of the study was to assess the effectiveness of the SIMBA model in improving self-perceived clinician confidence in the management of transitional endocrinology cases.
Methods: The session was conducted on 4 November 2022 as a hybrid option where participants joined the session either in person or virtually. Four transitional endocrinology scenarios, focussing on Turner’s syndrome, congenital adrenal hyperplasia, type 1 diabetes mellitus and type 2 diabetes mellitus, were simulated using participant-moderator interaction via Whatsapp. These scenarios were based on real-life cases, anonymised to maintain confidentiality. After conducting the simulated cases the content was discussed on Zoom by three expert chairs, each a specialist in various subspecialities of transitional endocrinology. During this discussion, participants interacted with chairs and fellow participants via chat option. Participants completed pre- and post-SIMBA surveys designed to evaluate self-perceived improvement in confidence and ACGME Core Competencies, and perceptions surrounding SIMBA. Responses were quantitatively analysed using the Wilcoxon Signed Rank test and answers to open ended questions were qualitatively assessed using a thematic analysis.
Results: 20 participants completed both pre- and post- SIMBA surveys. Participant self-perceived confidence in the management of simulated topics increased following the session (pre- vs post-SIMBA survey: 31.3% to 91.3%, P<.0001). There was also an increase in confidence to manage non-simulated conditions which were included in the discussion (14.0% to 66.0%; P<.0001). However, the change was greater with simulated cases (simulated vs non-simulated: 60% vs 52%). Most participants reported an improvement in Core Competencies defined by Accredited Council of Graduate Medical Education (patient care, 95%; knowledge on patient management, 95%; practice-based learning, 90%; systems-based practice, 85%; professionalism, 80%). 95% rated the quality of SIMBA session as excellent or good. 85% of participants strongly agreed or agreed that the topics simulated were applicable to their practice and 90% would attend SIMBA sessions in the future.
Conclusion: SIMBA is an effective tool for improving clinician confidence in the management of transitional endocrine topics. Focus for future studies will be implementing SIMBA for larger groups of clinicians to determine the wider effectiveness of simulation-based learning for transitional endocrinology.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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