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Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura Hagemeyer, MD | Judy Wilste, MD Abby Montague, MD

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Page 1: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura Hagemeyer, MD | Judy Wilste, MD Abby Montague, MD

Page 2: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

• Explain the benefits of game-based learning as an adjunct to traditional didactic methods

• Apply Twelve Tips for Effective Game-Based Learning for your own novel game designs

• Immediately implement game-based learning using easily adaptable templates and examples

Page 3: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Workshop Roadmap

Why Use Game Based Learning? [5 min]

Page 4: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Why Use Game Based Learning? [5 min]

Workshop Roadmap

Designing Effective Games (Twelve Tips) [20 min]

Page 5: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Why Use Game Based Learning? [5 min]

Workshop Roadmap

Time to Play: Design Your Own

[40 min]

Designing Effective Games (Twelve Tips) [20 min]

Page 6: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Why Use Game Based Learning? [5 min]

Workshop Roadmap

Explore the Game Closet

[15 min]

Designing Effective Games (Twelve Tips) [20 min]

Time to Play: Design Your Own

[40 min]

Page 7: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Fitzgerald, K., (1997) Instructional methods: Selection, use, and evaluation, in: S. Bastable (Ed). Nurse as educator: Principles of teaching and learning, pp. 261-286 (Sudbury, MA, Jones and Bartlett).

DEFINITION

Page 8: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Traditional Didactics

Page 9: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

• The perfect package: – Fun – Memorable – Effective

• Shown to preferred to

traditional didactics with equal or better retention

• If well designed can be packed with adult learning theory

Page 10: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

•NOT just throw away or filler

•Designer’s job to:

•Ensure substance

•Meet tangible objectives

•Know how to implement properly

Page 11: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why
Page 12: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Tip #1: Embrace “The Slumdog Concept” • Don’t Memorize, Make Memories

•Create games that are: • Interactive • Relevant • Challenging • Fun

Page 13: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Tip #2: Challenge Minds, Not Nerves

Competition need not be stressful

Aim for intellectual arousal, not anxiety

Avoid stigma of a wrong answer

Page 14: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Circumplex Theory of Affect (Russell 1980)

CO

MPE

TITI

ON

PSYCHOLOGICAL SAFETY

Page 15: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Tip #4: Make it more than just a game

• Have objectives beyond “getting the write answer” or just having fun • Design games that cover specific themes • Don’t just play the game •Discuss every answer (even the wrong ones)

“Your turn.”

Page 16: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Tip #5: Think Outside the Trivia Box

Test more than just the facts

Non-trivia games may be less intimidating

Examples: • Medical Charades • Medical Sketch • Jargon-Be-Gone • Slot Machine

Page 17: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Differential Diagnosis Slot Machine

Page 18: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Differential Diagnosis Slot Machine

•Ideal balance of activation and psychological safety as there is no single right answer

•Allows real-time creative medical thinking

•Mimics real world

•Can be tailor made as specific as possible (all GI complaints, adding a fourth stack with gestational age for NICU, etc.)

Page 19: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Tip #6: Take Action Seriously

Don’t downplay action-oriented

games •

Embrace less stigma in shouting out wrong answers •

Page 20: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Examples of Good Medical Charade Clues

• Anaphylaxis • Cyclic Vomiting

Syndrome • Febrile Seizures

•Happy Puppet Syndrome •Maple Syrup Urine Disease •Legg-Calves-Perthes Disease

Page 21: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

There’s not always a

right answer

Use games with NO right answers

Page 22: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Write Questions in Such a Way to Encourage Multiple Correct Answers

A newborn female with a webbed neck, lymphedema of the feet and wide spaced nipples may have what disease?

Only one correct answer: Turner’s Syndrome

Page 23: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Tip #9: Around the Room in 80 Seconds

• Resist rattling off teaching points yourself

•Be quiet for 80 seconds and go around the room letting the students do the teaching

•Allow peer-pressured learning (“If they know it, I should know it too.”)

• Creates a dynamic learning environment

Page 24: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Tip Number 10 Tip # 10

• Identify gaps in knowledge

• Fill them in (if possible, in the format of the game)

• Have a mental (or written) checklist of ideal learning points

Page 25: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Tip #11: Size up the crowd

Page 26: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Grocery Game

Page 27: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Tip #12: Use Feedback to Feed-forward

• Learn while teaching

• Take notes of what’s working and what isn’t

• Use feedback forms

Page 28: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why
Page 29: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why
Page 30: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Design a Game

Break into

small groups

Use the 12 Tips to create (or modify) a

novel medical

education game

Include objectives,

ideal setting for play,

rules, and examples

(worksheet provided)

Pick a

presenter to present to the large

group

Twenty Minutes

Page 31: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why
Page 32: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Design a Game

Break into

small groups

Use the 12 Tips to create (or modify) a

novel medical

education game

Include objectives,

ideal setting for play,

rules, and examples

(worksheet provided)

Pick a

presenter to present to the large

group

Twenty Minutes

Page 33: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

Explore the Game Closet

Page 34: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

References Akl, E.A., Sackett, K., Pretorius, R., Erdley, S., Bhoopathi, P.S., Mustafa, R. & Schünemann, H.J., (2008a)

Educational games for the health professional. Cochrane database of systemic reviews, 3. Akl, E.A., Mustafa, R., Slomka, T., Alawneh, A., Vedavelli, A. & Schünemann, H.J., (2008b) An educational game

for teaching clinical practice guidelines to Internal Medicine residents: development, feasibility and acceptability. BMC Medical Education, 8(50).

Bailey, C.M., Hsu, C.T. & DiCarlo, S.E., (1999) Educational puzzles for understanding gastrointestinal physiology.

The American Journal of Physiology, 276(6 Pt 2), pp. 1-18. Beylefeld A.A. & Struwig, M.C., (2007) A gaming approach to learning microbiology: students’ experiences of

flow. Medical Teacher, 29(9), pp. 933-940. Bochennek, K., Wittekindt, B., Zimmerman, S.Y. & Klingebiel, T., (2007) More than mere games: a review of card

and board games for medical education. Medical Teacher, 29(9), pp. 941-948. Blenner, J.L., (1991) Researcher for a day: a simulation game. Nurse Educator, 16 (2), pp. 32–35. Collins, H.L., Rodenbaugh, D.W., Murphy, T.P., Kullies, J.M., Bailey, C.M. & DiCarlo, S.E., (1999) An inquiry based

teaching tool for understanding arterial blood pressure regulation and cardiovascular function. The American Journal of Physiology, 277(6 Pt 2), pp. S15-28.

Eckert, G.U., Da Rosa, A.C., Busnello, R.G., Melchior, R., Masiero P.R. & Scorfeneker, M.L., (2004) Learning from

panel boards: T-lymphocyte and B-lymphocyte self-tolerance game. Medical Teacher, 26(6), pp. 521-524.

Page 35: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

References (continued) Fitzgerald, K., (1997) Instructional methods: Selection, use, and evaluation, in: S. Bastable (Ed). Nurse as

educator: Principles of teaching and learning, pp. 261-286 (Sudbury, MA, Jones and Bartlett). Fukuchi, S.G., Offutt, L.A., Sacks, J. & Mann, B.D., (2000) Teaching a multidisciplinary approach to cancer

treatment during surgical clerkship via an interactive board game. American Journal of Surgery, 179(4), pp. 337-400.

Harden, R.M., (2008) Death by Power-Point – the need for a ‘fidget index’. Medical Teacher, 30(9-10), pp. 833-

835. Howard, M.G., Collins, H.L. & DiCarlo, S.E., (2002) “Survivor” torches “Who Wants to Be a Physician” in the

educational games rating war. Advances in Physiology Education, 26(1-4), pp. 30-36. Kaufman, D.M., (2003) ABC of learning and teaching in medicine: applying educational theory in practice.

British Medical Journal, 326, pp. 213-216. Knowles, M.S., (1970) The modern practice of adult education; Andragogy versus pedagogy (New York,

Association Press). Lin, C.C., Li, Y.C., Bai, Y.M., Chen, J.Y., Hsu, C.Y., Wang, C.H., Chiu, H.W. & Wan, H.T., (2005) The evaluation of

Game-Based e-learning for medical education: a preliminary survey. American Medical Informatics Association Annual Symposium Proceedings, 1032.

Lujan, H.L. & DiCarlo, S.E., (2006) Too much teaching, not enough learning: what is the solution? Advances in

Physiology Education, 30(1), pp. 17-22.

Page 36: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

References (continued) Mann, B.D., Eidelson, B.M., Fukichi, S.G., Sissman, S.A., Roberston, S. & Jardines, L., (2002) The development of

an interactive game-based tool for learning surgical management algorithms via computer. American Journal of Surgery, 183(3), pp. 305-308.

Moy, J.R., Rodenbaugh, D.W., Collins, H.L. & DiCarlo, S.W., (2000) Who wants to be a physician? An educational

tool for reviewing pulmonary physiology. Advances in Physiology Education, 24(1), pp. 30-37. Odenweller, C.M., Hsu, C.T. & DiCarlo, S.E., (1998) Educational card games for understanding gastrointestinal

physiology. American Journal of Physiology, 275(6 Pt 2), pp.78-84. Ogershok, P.R. & Cottrel, S., (2004) The pediatric board game. Medical Teacher, 26(6): 514-517. O’Leary, S., Diepenhorst, L., Churley-Strom, R. & Magrne, D., (2005) Educational games in an obstetrics and

gynecology core curriculum. American Journal of Obstetrics and Gynecology. 193(5), pp 1848–1851. Preston, A.M., (1988) Use of games to improve memory scores on memory-type examinations. Puerto Rico

Health Science Journal, 7(3), pp. 257-261. Rodenbaug, D.W., Collins, H.L. & DiCarlo, S., (2002) Creating a simple PowerPoint multimedia game. Advances

in Physiology Education, 26(1-4) pp. 342-343.

Page 37: Mike Pitt, MD Emily Borman-Shoap, MD Adam Foss, MD Laura ... · learning using easily adaptable templates and examples . Workshop Roadmap Why Use Game Based Learning? [5 min] Why

References (continued) Rudolph, J.W., Simon, R., Raumer, D.B. & Eppich, W.J., (2008) Debriefing as formative assessment: closing

performance gaps in medical education. Academic Emergency Medicine, 15(11), pp. 1010-1016. Russell, J.A., A Circumplex model of affect. (1980) Journal of Personality and Social Psychology, 39(6), pp. 1161-

1178. Selby, G., Waler, V. & Diwakar, V., (2007) A comparison of teaching methods: interactive lecture versus game

playing. Medical Teacher, 29(9), pp. 972-974. Zakaryan, V., Bliss, R. & Srvayzan, N., (2005) Non-Trivial Pursuit of Physiology. Advances in Physiology Education,

29(1), pp. 11-14