Table 8 Exit survey open comments by theme and frequency

General Comment

18

4 no improvements to recommend

Facilitator discussions

“Facilitator discussions are way better (but it depends a lot on which facilitator).”

1 sims were good activities

1 refining the sims

1 not sure they are effective

1 facilitator discussions

Activity Format

14

6 triads should meet in separate rooms

Triads should meet in separate rooms.

“Videos are a nice idea but when several groups are together in the same room we couldn’t really watch the videos or if we did the sound would overlap with each other so a lot of times we didn’t even bother to watch the videos even though they looked informative and interesting.”

5 when to schedule the sims

1 add complexity to the activity worksheet

1 would’ve rather picked my group

1 students should prepare prior to the simulation

Desire for Individual Study

4

3 bank of simulation situations

Bank of Simulation Situations.

“Eventually, if you’re able to develop a bank of simulation situations, I think that would be really helpful. I would practice them in my own time.”

1 independent study

Case Content

6

2 review material too extensive

Review Material Side Loops

“There were so many asides when all I wanted to do was assess and treat my patient. I didn’t want to learn about each aspect of care as I made decisions. I wanted to assess, think quickly, treat, and then find out what happened—kind of like a video game.”

1 increase the complexity of the cases

1 match case content to large group lesson

1 tasks too detailed

1 diagnosis feedback

Diagnosis Feedback

“Go through the scenario and then provide relative information on why certain diagnoses are correct. More pertinent negatives would also be helpful. In other words, I want to know why certain diagnoses are wrong.”

Case Format

6

2 embedded videos

Patient Chart

“Have the option to go back and look at the HPI ^a and previous screens in case we forgot what the age and specific symptoms of the patient was.”

2 patient chart

1 length of case

1 linear flow of case

Clarity

7

3 feedback

Feedback

“Sometimes it would say when I answered correctly and other times it didn’t. It was most helpful when I knew if I was right in my reasoning.”

1 answer choices

1 questions

1 spelling

1 grammar

Quantity of Text

4

4 reduce the text

Reduce the Text

“Some pages of the VPS had a lot of text. Since we were given a time limit to get as far as we could in the case, we found that we would briefly skim or just completely skip these long passages.”

Time Constraints

10

8 20 min insufficient

Time Constraints

“I would like more time for each activity in order to be able to absorb the materials more completely.”

2 timer