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tially account for this effect. Thus, the game may foster the implementation of guideline recommendations. The considerable difference observed between previously exposed and unexposed students suggests a long-term effect of using the game although retention of specific virtual patient cases rather than general principles might partially account for this effect. Thus, the game may foster the implementation of guideline recommendations. Gestational diabetes mellitus (GDM) has become alarming public health concern. It is associated with a
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