When you finish a simulation, a pop-up appears to let you know exactly why your interaction with the patient reached its conclusion. This message provides the final status of your clinical encounter.
Understand Why the Simulation Ends
Make sure your effort counts! Your simulation data is only finalized and saved once you finish the Post-Simulation Questions. Answering these questions is essential to confirm your understanding of the clinical scenario and its outcome. Closing the app before this step means your attempt will be discarded, and you won’t be able to access your feedback, review your scores, or track your clinical growth in BI Studio.
Possible Endings
Every simulation you play will conclude in one of these four ways:
Main Goal Achieved
The best possible outcome! You successfully identified and reached the primary clinical objective defined for that patient. The Main Goal is part of the scenario’s Learning Objectives, but reaching it does not necessarily mean you completed all of them. It is defined specifically for each scenario based on factors such as the patient’s condition, target audience (e.g., nursing, medicine), and applicable clinical guidelines.
Examples: Stabilizing a patient in shock, reaching a correct diagnosis in a consultation, or providing essential patient education.
Critical Mistake
The simulation ended because a life-threatening error occurred or a high-risk action was taken. Like the Main Goal, these are defined specifically for each scenario based on factors such as the patient’s condition, target audience, and applicable clinical guidelines. Each Critical Mistake results in a 30% deduction from your Global Score.
Examples: Administering a contraindicated medication, omitting an essential life-saving treatment, or allowing the patient to deteriorate into cardiac arrest.
Time’s Up
You were focused on the patient, but the simulation timer reached zero before the Main Goal was met. There is no penalty to your Global Score for this ending.
Ended by You
You chose to stop the simulation manually. There is no penalty to your Global Score for this ending. Before confirming, always consider whether you have addressed all the patient’s needs.
Why do the End of Simulation and Global Score differ?
The message you see at the end tells you why the simulation ended, while the Global Score shows how well you cared for your patient throughout the entire experience. Because they measure different things, reaching the Main Goal does not always mean you will have a high score, and the opposite is also true.
Let’s look at two common examples to understand how these results work together.
✅ Main Goal Achieved
🔻 Low Score
You can reach the primary clinical objective but still have a lower Global Score if you skip important steps of the clinical process.
Example: Imagine you are managing a patient with hypoglycemia. You administer glucose and the patient stabilizes (Main Goal Achieved). However, because you did not perform a thorough history taking or physical assessment, your score reflects those missing actions.
❌ Critical Mistake
⬆️ High Score
You might provide excellent care and build up a high score, but a single high-risk error will end the simulation immediately. Even with a 30% penalty, your final result can still be high if your overall performance was strong.
Example: Imagine you are managing a patient with severe trauma. You perform an assessment, ask the right questions, and order the correct tests, which builds up a high score. However, you fail to treat a major hemorrhage in time, and that action makes the simulation end. The simulation ends as a Critical Mistake, but because your care was thorough until that point, your final score can still be high even after the penalty is deducted.
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