Table 3 Key study findings

• Simulation able to replicate real world clinical situation / clinical stress:

 Yes

 No

[27, 29]

[32, 37, 43]

• Pre-performance anxiety / anticipatory anxiety reported

[26, 34, 37, 41, 45]

• Increased psychological stress during and / or post scenario

[7, 26, 28, 31–34, 38, 39, 43]

• Increased biological stress during and / or post scenario

[7, 25–27, 29–33, 35, 36, 38, 39, 43]

• Habituation observed:

 Yes

 No

[31, 45]

[42, 45]

• Stress response related to academic performance:

 Yes

 No

[7, 30–32, 38]

[25, 33, 42]