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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