Integrating Simulated Patients in TBL: a Strategy for Success in Medical Education.

Students expressed favorable attitudes toward the SP-TBL hybrid with Likert-scale items (mean 4.26/5). Qualitatively, four positive themes emerged: (1) practice; (2) engagement; (3) SP use; and (4) feedback. Integrating SPs into TBL avoids disadvantages with both traditional TBL and OSCEs. Practice, engagement, and immediate feedback are advantages over traditional TBL.