Table 1. Scenario Content Description; Evolution of Scores on New Scenarios by Scenario and Block.

	Patient subgroup	Presenting complaint(s)	Disease entities	Mean score, t0 (%correct)	Mean score, t1 (% correct)	Mean score, t2 (% correct)
	Block A			40.1	50.5	51.1
1	Non-pregnant adult	Cough, fever, vomiting, abdominal pain	TB (smear positive), adverse drug reaction (severe)	59.1	66.3	65.9
2	Non-pregnant adult	Sore throat, dysphagia, fever, chest pain	AIDS, esophageal candidiasis,TB (suspected extrapulmonary)	32.8	46.0	43.8
4	Infant	Coma, fever, vomiting, perinatal HIV exposure	Bacterial meningitis, HIV exposure, PMTCT*	34.9	39.8	46.6
12	Child	Cough, fever, diarrhea, wasting	Pneumonia, adverse drug reaction (minor), PMTCT*	33.8	50.0	48.0
	Block B			41.5	48.8	50.6
5	Child	Fever, respiratory distress, wasting	Malaria (severe), pneumonia, severe acute malnutrition, anemia	38.2	49.6	50.3
6	Pregnant woman	Fatigue, post-partum fever	Malaria (uncomplicated), post-partum endometritis, anemia	55.1	61.0	64.0
9	Infant	Clinical worsening on ART	AIDS treatment failure, suspected HIV encephalopathy	31.4	34.5	38.1
11	Non-pregnant adult	Diarrhea (recurrent), weight loss	Diarrhea (cholera), HIV/AIDS (wasting syndrome)	41.3	50.0	50.1
	Block C			36.3	48.1	47.1
3	Non-pregnant adult	Fever, convulsions	Malaria (severe), HIV infection	34.0	46.9	43.3
7	Infant	Diarrhea, lethargy	Neonatal sepsis	37.1	47.9	46.0
8	Non-pregnant adult	Adenopathy,clinical worsening on ART	TB-IRIS, adverse drug reaction (severe)	36.5	51.5	55.6
10	Pregnant woman	Cough, fever	AIDS, smear negative pulmonary TB	37.5	45.9	43.4

Abbreviations. AIDS: acquired immune deficiency syndrome; ART: antiretroviral therapy; HIV: human immunodeficiency virus; IRIS: immune reconstitution inflammatory syndrome; PMCT: prevention of mother to child transmission (of HIV); TB: tuberculosis.

^*Although they did not focus on pregnancy, these scenarios also addressed antenatal and post-partum PMTCT protocols.