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At the conclusion, learners repeated the self-efficacy measure and answered several evaluation questions. Individual RAT scores had a mean of 59%, while groups scored with a mean of 82%. Mean self-efficacy scores also increased significantly from 2.4 to 3.4 on a 5-point scale. Of learners, 80% agreed or strongly agreed that the activity was effective for improving DSD skills and knowledge. TBL is a valuable educational strategy to enhance knowledge and self-efficacy of DSD care for general pediatricians. TBL is a valuable educational s
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