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Table 1 Proposed CMO configurations for the SBE course for final year medical students

From: An overview of realist evaluation for simulation-based education

Context Mechanism Outcome (students)
C1. Final year medical students in their last few months of training. M1. Providing the opportunity to experience and explore the role of a newly qualified doctor in a simulated setting. O1. To foster an understanding of the role of a newly qualified doctor.
C2. Final year medical students who have extensive knowledge and clinical experience but have not had the responsibility of managing the acutely unwell patient. M2. Presenting a variety of realistic simulated medical and surgical emergencies using a high-fidelity manikin. O2. To assess and manage the acutely unwell patient using a structured approach.
C3. The majority of students have observed the management of a cardiac arrest. M3. Allowing the students to manage (as a team) a simulated cardiac arrest. O3. To increase understanding of team work and communication.
C4. Before commencing as newly qualified doctors the students undertake a 6-week assistantship. M4. Exploring the role of the newly qualified doctor and setting goals for assistantship. O4. To identify and set goals for assistantship.
C5. The students have varying levels of confidence. M5. Providing immediate feedback and exploring the factors that influence when and why the students call for assistance. O5. To recognise personal limitations and when to call for help.