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Table 1 Changes in participants’ confidence levels post-SIMBA session for approaching simulated and non-simulated cases with p values

From: SIMBA: using Kolb’s learning theory in simulation-based learning to improve participants’ confidence

Case

Confident

Unsure

Not confident

Significance

Simulated cases

 Adrenal incidentaloma > 4 cm

+ 30.3%

− 21.3%

−9.1%

Z = 3.152, P = 0.0020

 ACC

+ 45.5%

− 33.4%

−12.1%

Z = 3.970, P < 0.0001

 Conn’s syndrome

+ 36.3%

−27.3%

−9.0%

Z = 3.873, P < 0.0001

 Cushing’s syndrome

+ 39.3%

−36.3%

−3.0%

Z = 3.742, P = 0.0001

 COVID-19 infection in a patient with CAH

+ 30.3%

−15.1%

−15.2%

Z = 3.036, P = 0.0029

Non-simulated cases

 BMNAH

+ 45.5%

−39.4%

−6.1%

Z = 4.123, P < 0.0001

 Addison’s disease

+ 12.1%

−12.1%

0.0%

Z = 1.414, P = 0.2891

 Secondary adrenal insufficiency

+ 24.2%

−18.1%

−3.0%

Z = 2.326, P = 0.0332

 Androgen secreting adrenal tumours

+ 39.3%

−24.2%

−15.2%

Z = 3.847, P < 0.0001

 Adrenal incidentaloma < 4 cm

+ 30.3%

−21.3%

−9.1%

Z = 3.152, P = 0.0020

 Phaeochromocytoma

+ 33.3%

−30.3%

− 3.1%

Z = 3.464, P = 0.0005

 Adrenal metastases

+ 33.3%

−15.1%

−18.2%

Z = 3.989, P < 0.0001

  1. ACC Adrenocortical carcinoma, COVID-19 Novel coronavirus disease, CAH Congenital adrenal hyperplasia, BMNAH Bilateral macronodular adrenal hyperplasia