Competency scale	Time(week)	Mean ± SD	p-value	Multiple comparisons
				Time	Mean diff. (95%CI), p-value
Attitude	0	3.45 ± 0.50	<0.001	1 vs 0	1 (0.96-1.04), <0.001
	1	4.45 ± 0.50		12 vs 0	1 (0.96-1.04), <0.001
	12	4.45 ± 0.50		12 vs 1	0 (-0.04-0.04), 1.000
Motivation	0	3.35 ± 0.63	<0.001	1 vs 0	0.92 (0.86-0.97), <0.001
	1	4.24 ± 0.60		12 vs 0	1 (0.94-1.06), <0.001
	12	4.32 ± 0.62		12 vs 1	0.08 (0.03-0.14), 0.004
Active listening	0	3.85 ± 0.67	0.0628	1 vs 0	0.07 (-0.01-0.14), 0.104
	1	3.92 ± 0.65		12 vs 0	0.09 (-0.01-0.17), 0.052
	12	3.95 ± 0.64		12 vs 1	0.03 (-0.05-0.11), 0.504
Communication	0	3.05 ± 0.60	<0.001	1 vs 0	0.95 (0.92-0.97), <0.001
	1	4.00 ± 0.63		12 vs 0	1 (0.97-1.02), <0.001
	12	4.05 ± 0.60		12 vs 1	0.05 (0.03-0.08), <0.001
System thinking	0	2.98 ± 0.62	<0.001	1 vs 0	0.98 (0.97-1.00), <0.001
	1	3.97 ± 0.63		12 vs 0	1 (0.98-1.00), <0.001
	12	3.98 ± 0.62		12 vs 1	0.02 (0.01-0.03), <0.001
Knowledge	0	59.45 ± 6.14	<0.001	1 vs 0	25.71 (23.56-27.86), <0.001
	1*	85.15 ± 7.96		12 vs 0	17.66 (15.51-19.81), <0.001
	12	77.10 ± 8.00		12 vs 1	-8.05 (-5.89 - -10.20), <0.001

*Mean value at day 2 (after initiating the program)

Int J Med Educ. 2025; 16:75-83; doi: 10.5116/ijme.67ab.5af9