|  |  |  | Pre-test |  | Post-test |  | p value |
---|---|---|---|---|---|---|---|---|
Primary outcome | Â | Â | Â | Â | Â | Â | ||
 | Overall OP ratings of case 1 |  | 0 (0,1) |  | 1 (1,2) |  | < 0.001* | |
 | Overall OP ratings of case 2 |  | 0 (0,1) |  | 1 (1,1) |  | < 0.001* | |
Secondary outcomes | Â | Â | Â | Â | Â | Â | ||
 | Lesion identification |  |  |  |  |  |  | |
 | Case 1 |  |  |  |  |  |  | |
 |  | Accuracy of lesion reporting (%) |  | 0 (0%) |  | 1 (1.3%) |  | 1.00 |
 |  | Dwell time (milliseconds)§ |  | 506.50 ± 509.06 |  | 374.38 ± 464.68 |  | 0.02* |
 |  | Fixation count§ |  | 1.98 ± 1.76 |  | 1.59 ± 1.91 |  | 0.14 |
 | Case 2 |  |  |  |  |  |  | |
 |  | Accuracy of occipital lesion reporting (%) |  | 11 (13.8%) |  | 13 (16.3%) |  | 0.82 |
 |  | Accuracy of frontal lesion reporting (%) |  | 7 (8.8%) |  | 11 (13.8%) |  | 0.34 |
 |  | Dwell time (milliseconds)#§ |  | 2405.20 ± 1448.11 |  | 2518.90 ± 1102.71 |  | 0.56 |
 |  | Fixation count#§ |  | 8.84 ± 5.18 |  | 9.09 ± 3.48 |  | 0.72 |
 | Competency in systematic image reading Case 1 |  |  |  |  |  |  | |
 |  | Scores of systematic OP ratings |  | 0 (0,1) |  | 1 (1,2) |  | < 0.001* |
 |  | Transition entropy§ |  | 3.42 ± 0.62 |  | 3.67 ± 0.37 |  | 0.001* |
 | Case 2 |  |  |  |  |  |  | |
 |  | Scores of systematic OP ratings |  | 0 (0,1) |  | 1 (1,2) |  | < 0.001* |
 |  | Transition entropy§ |  | 3.42 ± 0.76 |  | 3.75 ± 0.37 |  | 0.002* |
 | Scores of self-efficacies |  | 35.5 (29,41) |  | 38.5 (32,43) |  | 0.08 |