Simulation via instant messaging - bedside application (SIMBA) event co-designed by experts and patients enhanced clinicians

Sangamithra Ravi; Maiar Elhariry; Akshat Sinha; Francesca Crowe; Caroline Gillett; Alessandro Prete; Cristina Ronchi; Punith Kempegowda; DEI Group

doi:10.1530/endoabs.109.OP3.2

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Endocrine Abstracts (2025) 109 OP3.2 | DOI: 10.1530/endoabs.109.OP3.2

SFEBES2025 Poster Oral Presentations Adrenal and Cardiovascular (4 abstracts)

Simulation via instant messaging - bedside application (SIMBA) event co-designed by experts and patients enhanced clinicians’ confidence in managing adrenal conditions

Sangamithra Ravi ¹ , Maiar Elhariry ² , Akshat Sinha ¹ , Francesca Crowe ³ , Caroline Gillett ^4,5 , Alessandro Prete ^4,5 , Cristina Ronchi ⁴ , Punith Kempegowda ^3,6 & DEI Group ³

Author affiliations

¹Birmingham Medical School, College of Medicine and Health, University of Birmingham, Birmingham, United Kingdom; ²Sandwell and West Birmingham NHS Foundation Trust, Birmingham, United Kingdom; ³Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, United Kingdom; ⁴Department of Metabolism and Systems Science, University of Birmingham, Birmingham, United Kingdom; ⁵National Institute for Health and Care Research (NIHR) Birmingham Biomedical Research Centre, Birmingham, United Kingdom; ⁶Queen Elizabeth Hospital Birmingham, University Hospitals NHS Foundation Trust, Birmingham, United Kingdom

Background: Simulation via Instant Messaging - Bedside Application (SIMBA) is a virtual simulation-based medical training model that improves clinicians’ confidence. Simulation-based learning (SBL) fosters interactive learning, bridging theoretical and practical clinical skills, while patient and public involvement (PPI) enriches healthcare professionals’ understanding of patient needs. Despite SBL and PPI’s recognised benefits in improving patient-centred care, PPI remains inconsistently integrated into medical education. This study evaluates the effects of combining PPI with SBL on healthcare providers’ confidence and clinical performance in managing adrenal disorders.

Methods: A hybrid two-day SIMBA event in Birmingham, UK, utilised nine case-based adrenal disorder scenarios designed with PPI input. Patients contributed their insights through workshops, providing feedback on the case scenarios to align them with real patient experiences. Participants’ confidence was measured with pre- and post-SIMBA surveys, and performance was assessed using the Global Rating Scale (GRS). Statistical analysis was conducted using Stata software.

Results: Among 64 participants, confidence in managing adrenal disorders significantly improved post-simulation (P < 0.00001), with 92% favouring SBL over traditional learning methods. PPI integration allowed healthcare providers to adopt a more patient-centered approach, positively impacting patient feedback. Participants noted increased awareness of rare diagnoses and a commitment to evidence-based medicine, further improving patient care. Qualitative feedback highlighted the model’s accessibility and value, though participants suggested logistical improvements.

Conclusion: Integrating PPI in SBL for our SIMBA session enhanced healthcare providers’ confidence and patient-centered clinical practices. The SIMBA model’s accessible and effective format has potential for broader applications across medical disciplines. Future studies should assess long-term clinical impact and include objective measures of practice changes, particularly in diverse and resource-limited settings.