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Table 2 Comparison of self-reported confidence, written test scores, and simulation OSCE performance before and after the intervention (n = 24)

From: Implementation and evaluation of a shock curriculum using simulation in Manila, Philippines: a prospective cohort study

Parameter Pre-Intervention
Median (IQR)
Post-Intervention
Median (IQR)
p Value*
Self-reported confidencea
 Identification of shock 4 (3–4) 4 (4–5) < 0.01
 Identification of malnutrition 3 (3–4) 4 (4–4) < 0.01
 Management of hypovolemic shock 4 (3–4) 4 (4–5) < 0.01
 Management of septic shock 3 (3–4) 4 (4–4) < 0.01
 Placement of an IO needle 3 (2–3.5) 4 (4–4) < 0.01
Written knowledge test scoreb
 Overall 10 (9.5–10) 10 (10–10) 0.15
 PGY-1 10 (10–10) 10 (10–10)  
 PGY-2 10 (9–10) 10 (10–10)  
 PGY-3 10 (9–10) 10 (9–10)  
Time to initiation of fluid in simulation OSCE (seconds)
 Overall 71.5 (52–116.5) 68 (52.5–89) 0.42
 PGY-1 97 (64–123) 84 (49–95)  
 PGY-2 63 (49–90) 68 (68,90)  
 PGY-3 71.5 (52.5–114.5) 57.5 (52.5–73.5)  
Checklist total in simulation OSCE
 Overall 10 (8.5–11) 15 (13–16) < 0.01
 PGY-1 10 (9–12) 15 (13–16)  
 PGY-2 9 (8–10) 15 (14–16)  
 PGY-3 10.5 (8.5–11.5) 15 (12.5–16.5)  
  1. Abbreviations: IO Intraosseous; IQR Interquartile range; PGY Postgraduate year; OSCE Objective standardized clinical examination
  2. *Comparisons were made by Wilcoxon sign rank. Bold font indicates statistical significance
  3. aRated on a 5-point Likert scale, where 1 = no confidence and 5 = extremely confident
  4. bMaximum score on written test was 10