College of Medical and Dental Sciences, University of Birmingham, Birmingham B4 6BN, United Kingdom.
Endocrinology, Georgian-American Family Medicine Clinic 'Medical House', Tbilisi 0171, Georgia.
Postgrad Med J. 2023 Mar 22;99(1167):25-31. doi: 10.1093/postmj/qgac008.
Simulation via Instant Messaging-Birmingham Advance (SIMBA) delivers simulation-based learning through WhatsApp and Zoom, helping to sustain continuing medical education (CME) for postgraduate healthcare professionals otherwise disrupted by the coronavirus (COVID-19) pandemic. This study aimed to assess whether SIMBA helped to improve clinical knowledge and if this improvement in knowledge was sustained over time.
Two SIMBA sessions-thyroid and pituitary-were conducted in July-August 2020. Each session included simulation of various real-life cases and interactive discussion. Participants' self-reported confidence, acceptance, and knowledge were measured using surveys and multiple-choice questions pre- and post-simulation and in a 6- to 12-week follow-up period. The evaluation surveys were designed using Moore's 7 Levels of CME Outcomes Framework.
A total of 116 participants were included in the analysis. Significant improvement was observed in participants' self-reported confidence in approach to simulated cases (thyroid, n = 37, P < .0001; pituitary, n = 79, P < .0001). Significant improvement in clinical knowledge was observed following simulation (thyroid, n = 37, P < .0001; pituitary, n = 79, P < .0001). For both sessions, retention of confidence and knowledge was seen at 6-12 weeks' follow-up.
SIMBA increased participants' clinical knowledge on simulated cases and this improvement was retained up to 6-12 weeks after the session. Further studies are required to explore long-term retention and whether it translates to improved real-world clinical practice.
通过即时通讯-伯明翰进阶（SIMBA）进行模拟，通过 WhatsApp 和 Zoom 提供基于模拟的学习，帮助受冠状病毒（COVID-19）大流行影响的研究生医疗保健专业人员维持继续医学教育（CME）。本研究旨在评估 SIMBA 是否有助于提高临床知识，以及这种知识的提高是否随着时间的推移而持续。
2020 年 7 月至 8 月进行了两次 SIMBA 会议-甲状腺和垂体。每个会议都包括模拟各种现实生活中的病例和互动讨论。使用调查和多项选择题在模拟前后以及在 6 至 12 周的随访期间，测量参与者的自我报告的信心、接受度和知识。评估调查问卷使用 Moore 的 7 级继续医学教育结果框架设计。
共有 116 名参与者被纳入分析。参与者对模拟病例处理方法的自我报告信心显著提高（甲状腺，n=37，P<0.0001；垂体，n=79，P<0.0001）。模拟后临床知识显著提高（甲状腺，n=37，P<0.0001；垂体，n=79，P<0.0001）。对于两个会议，在 6-12 周的随访中均保留了信心和知识。
SIMBA 提高了参与者对模拟病例的临床知识，这种提高在会议结束后 6-12 周内保持。需要进一步研究以探讨长期保留情况以及是否转化为改善现实世界的临床实践。
