ECE2023 Poster Presentations Diabetes, Obesity, Metabolism and Nutrition (159 abstracts)
Comparing performance of healthcare professionals from different training grades in SIMBA simulation-based training sessions
Dengyi Zhou 1,2 , Harshin Pallathoor Balakrishnan 3 , Emily Warmington 4 , Maiar Elhariry 4 , Anisah Ali 4 , Tamzin Ogiliev 5 , Kashish Malhotra 6 , Vina Soran 4 , Pavithra Sakthivel 4 , Carina Synn Cuen Pan 4 , SIMBA and CoMICs Team 7 & Punith Kempegowda 7,8
1Department of Metabolism, Digestion and Reproduction, Faculty of Medicine, Imperial College London, London, United Kingdom; 2Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, United Kingdom; 3School of Medicine, Far Eastern Federal University, Vladivostok, Russia; 4College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom; 5Faculty of health, University of Plymouth, Plymouth, United Kingdom; 6Dayanand Medical College, Ludhiana, India; 7Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom; 8Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom
Introduction: Simulation via Instant Messaging – Birmingham Advance (SIMBA) is a simulation-based training model shown to have increased clinicians’ confidence in managing cases in diabetes and endocrinology, as well as sustained clinical knowledge.1 Traditional simulation models have typically focussed on a specific group of healthcare professionals. We evaluated if there is a difference in performance between different training groups during SIMBA.
Methods: All participants who completed both pre-and post-SIMBA surveys in 17 SIMBA sessions between May 2020 and June 2022 were included in this study. Participants’ performance was assessed using the Global Rating Scale (GRS), which was adapted for each session and scored the participant on a scale of 1 (poor) to 5 (excellent) in 6 domains: History Taking, Physical Examination, Investigations, Result Interpretation, Clinical Judgement, and Management. Participants were grouped as junior grade (foundation year trainees, internal medical trainees and equivalent), middle grade (specialty training years 3 to 7 and equivalent) and senior grade (consultants and equivalent). Adjusted means and 95% confidence intervals of the scores for the six GRS domains were calculated using multiple linear regression models, adjusting for sex, country, training, and number of WhatsApp messages. The mean difference of the pairwise comparisons between each of the performance scores was calculated using a paired t-test.
Results: A total of 207 (junior grade – 59 (28.5%), middle grade – 116 (56.0%), and senior grade – 32 (15.4%)) from 49 countries were included in this analysis. Except for history taking where junior grade participants scored higher than the other two groups (junior vs middle vs senior: 4.2 vs 3.7 vs 3.7; P=.0055), there were no significant differences between the three groups on other GRS domains (Physical Examination (4.0 vs 3.7 vs 3.4; P=.0688), Clinical Interpretation (2.6 vs 2.6 vs 3.0; P=.244), Investigation (3.5 vs 3.4 vs 3.6; P=.5573)), Clinical Judgement (3.4 vs 3.3 vs 3.4; P=.7891), Management (2.8 vs 2.7 vs 2.7; P=.8459).
Conclusions: SIMBA provides equivalent simulation-based learning experiences irrespective of training grade. Combining these results with our previously published data on sustained improvement in clinical knowledge makes SIMBA an effective medium of teaching and learning for endocrinology.
References: 1. Zhou, D. et al. Sustained clinical knowledge improvements from simulation experiences with Simulation via Instant Messaging—Birmingham Advance. Postgrad Med J. 2023;qgac008
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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