diagnostic reasoning
Conditions
Interventions
None listed
Sponsors
Chiba University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Participants comprised 30 medical students participating in clinical clerkship.
Exclusion criteria
Exclusion criteria: Students who could not participate in any of the case scenarios for any reason were excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A cross-sectional study was conducted to investigate the effects of gamification on diagnostic decision-making and medical cost reduction in case scenarios. Participants comprised 30 medical students participating in clinical clerkship. They were randomly assigned to 14 small group teams. Use of decision-making cards (DMCs) was gamified. The DMCs had the clinical information heading and medical cost on the front and details of clinical information on the back of the cards. First, each team was provided brief clinical information (age, gender, chief complaint, and history of present illness) in case scenarios. Subsequently, DMCs were distributed to them and they decided which cards to choose in turn. Then, the correct final diagnosis, the total number of cards drawn, and the total medical cost were scored. Faculty members debriefed the students about the process of the cards chosen. Four case scenarios were implemented and the order in which each team answered was randomized. Students completed a questionnaire about confidence in effective clinical decision-making, motivation to learn diagnostic decision-making, and awareness of medical cost before and after the educational intervention. | — |
Countries
Japan
Contacts
Public ContactKosuke Ishizuka
Chiba University Hospital Department of General Medicine
Outcome results
None listed