Utility of Simulation via Instant Messaging - Birmingham Advance (SIMBA) in medical education during COVID-19 pandemic.

Morgan, Georgia; Melson, Eka; Davitadze, Meri; Ooi, Emma; Zhou, Dengyi; Hanania, Thia; Chen, Wentin; Thomas, Lucretia; Allison, Isabel; Ding, Michael; Blaggan, Parisha; Ng, Cai Ying; Evans, Nia; Warmington, Emily; Radcliffe, Eloise; Soran, Vina; Nirmal, Rachel; Boelaert, Kristien; Cooney, Rachel; Reddy-Kolanu, Vinay; Karavitaki, Niki; Pathmakanthan, Shri; Arlt, Wiebke; Kempegowda, Punith

BACKGROUND Simulation via Instant Messaging - Birmingham Advance (SIMBA) aimed to improve clinicians' confidence in managing various clinical scenarios during the COVID-19 pandemic. METHODS Five SIMBA sessions were conducted between May and August 2020. Each session included simulation of scenarios and interactive discussion. Participants' self-reported confidence, acceptance, and relevance of the simulated cases were measured. RESULTS Significant improvement was observed in participants' self-reported confidence (overall n = 204, p<0.001; adrenal n = 33, p<0.001; thyroid n = 37, p<0.001; pituitary n = 79, p<0.001; inflammatory bowel disease n = 17, p<0.001; acute medicine n = 38, p<0.001). Participants reported improvements in clinical competencies: patient care 52.0% (n = 106/204), professionalism 30.9% (n = 63/204), knowledge on patient management 84.8% (n = 173/204), systems-based practice 48.0% (n = 98/204), practice-based learning 69.6% (n = 142/204) and communication skills 25.5% (n = 52/204). CONCLUSION SIMBA is a novel pedagogical virtual simulation-based learning model that improves clinicians' confidence in managing conditions across various specialties.