Scores for individual elements showed that the intervention group performed better in maintaining a psychologically safe environment ( 4.3 1.21 vs. 3.8 1.16 ; P = 0.001 ) , identifying and exploring performance gaps ( 4.1 1.38 vs. 3.7 1.34 ; P = 0.048 ) , and they more frequently emphasized the professionalism error of failing to call for help over the clinical topic of anaphylaxis ( 66 vs. 41 % ; P = 0.008 ) .