Item number

Question asked to student (response’s from strongly disagree = 0, disagree = 1, neutral = 2, agree = 3, and strongly agree = 4)

Pretest mean score (out of 4)

Posttest mean score (out of 4)

p-value

1

I Feel confident enough doing consultations with patients independently

2.59

2.90

p ≤ 0.001

2

I feel my communication skills with patients are optimal for my level

2.71

2.91

p = 0.02

3

I feel happy with my overall performance in doing consultations

2.46

2.77

p ≤ 0.001

4

I know the basic skills to break bad news

2.63

3.20

p ≤ 0.001

5

I feel confident to break bad news

1.90

2.65

p ≤ 0.001

6

I am familiar with the concept of simulation based learning

2.27

3.33

p ≤ 0.001