Table 1.

Pre-post test values.

Item No.	Category	Main Topic of Quiz	Pre-Test Score (n = 169)	Post-Test Score (n = 169)	Fluctuation (%)	Adjusted p-Value
1	CR	Management of altered mental status	25.4%	75.7%	+50.3	<0.0001 *
2	K	Electrocardiogram and syncope	52.1%	58.0%	+5.9	0.1573
3	K	Type of hormone secretion during hypoglycemia	64.5%	87.0%	+22.5	<0.0001 *
4	K	Referred pain of acute coronary syndrome	51.5%	53.8%	+2.4	0.5862
5	CR	Time course of syncope (cardiogenic)	59.2%	82.8%	+23.7	<0.0001 *
6	K	Pathophysiology of pulmonary failure	34.9%	31.4%	−3.6	0.1573
7	K	Electrocardiogram of ST elevation	34.3%	36.7%	+2.4	0.5791
8	CR	Vital signs of sepsis	73.4%	85.8%	+12.4	<0.0001 *
9	K	Anatomy of aortic dissection	55%	53.3%	−1.8	0.6015
10	CR	Management of each type of shock	66.9%	78.7%	+11.8	0.0032
11	K	Contrast CT of aortic dissection	67.5%	79.3%	+11.8	0.0016 *
12	CR	Treatment strategy of shock	56.2%	62.7%	+6.5	0.0630
13	K	Jugular venous pressure	42.6%	49.7%	+7.1	0.0455
14	CR	Differential diagnosis of hypoglycemia	24.3%	82.2%	+58.0	<0.0001 *
15	CR	Management of altered mental status	75.1%	97.0%	+21.9	<0.0001 *
16	K	Chest radiograph of heart failure	24.3%	39.6%	+15.4	<0.0001 *
17	CR	Management of syncope	53.8%	79.3%	+25.4	<0.0001 *
18	K	Symptoms of hypoglycemia	51.5%	27.8%	−23.7	<0.0001 *
19	CR	Treatment of sepsis shock	47.3%	50.9%	+3.6	0.3428
20	CR	Management of chest pain	46.7%	85.8%	+39.1	<0.0001 *

Notes: K = knowledge, CR = clinical reasoning, * = statistically significant, p-value < 0.0025.