Table 2.

Results of the evaluation after completion of the two virtual patient cases. The students rated statements on a scale ranging from 6 (strongly agree) to 1 (strongly disagree).

	Basic	Supplement	All	P valuea
1. I was busier with language problems than with the analysis of the case.	2.5	3	3	.29
2. The clinical relevance of the cases was understandable.	6	6	6	.42
3. For me it was difficult to understand the technical instructions in English.	1.5	2	2	.35
4. For me it was motivating to work with a case written in English.	4.5	4.5	4.5	.66
5. Diagnostic and therapeutic strategies are different to the strategies and procedures I am aware of.	4	5	4.5	.39
6. Medical students interacted with the patients in a way that was different from the interaction I am aware of.	2	3.5	2	.13
7. The described medical situation can be readily transferred to practices in Germany.	5	3	4	.048
8. I realized differences more readily using the additional information in the supplement.	n/a	5	n/a
9. The supplements were helpful in working with the cases.	n/a	4	n/a

^aP values were calculated using the Mann-Whitney U Test.