Critical thinking gamification in medical education

שמור ב:
מידע ביבליוגרפי
הוצא לאור ב:BMC Medical Education vol. 26, no. 1 (Dec 2026), p. 90
מחבר ראשי: Fadous, Marie Claude
מחברים אחרים: Zeeny, Charbel, Cheiban, Kenneth, Margossian, Garo, Ghorayeb, Zaki, Massoud, Chadi, Rihana, Sandy
יצא לאור:
Springer Nature B.V.
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גישה מקוונת:Citation/Abstract
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MARC

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024 7 |a 10.1186/s12909-025-08446-3  |2 doi 
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100 1 |a Fadous, Marie Claude  |u Holy Spirit University of Kaslik, USEK,, School of Medicine and Medical Sciences, KASLIK Jounieh, Lebanon (GRID:grid.444434.7) (ISNI:0000 0001 2106 3658); University Hospital, Notre Dame des Secours, Byblos, Lebanon (GRID:grid.444434.7); RésoSanté C-B-Santé Ouest CHC , Montreal, Canada (GRID:grid.444434.7) 
245 1 |a Critical thinking gamification in medical education 
260 |b Springer Nature B.V.  |c Dec 2026 
513 |a Journal Article 
520 3 |a BackgroundAdvancements in health and medical education are key to a promising future, but sustaining their exponential pace requires innovative approaches. Gamification offers a powerful tool to foster engagement and enhance the educational journey of medical professionals. By integrating interactive and motivational elements into training, gamification not only boosts knowledge acquisition but also addresses the monotony of traditional methods, encouraging deeper cognitive engagement and reducing errors in practice. Critical thinking is essential for accurate and timely medical decisions, particularly in diagnosing new patients at emergency department. Enhancing these skills can significantly reduce errors and improve patient outcomes, including lowering mortality rates.MethodsThis project introduces a critical thinking game designed to improve the clinical reasoning skills of pediatric students before they enter the field. The game simulates realistic clinical cases, where students draw randomized cards presenting patient profiles, symptoms, and test results, then race against the clock to deliver most relevant diagnoses and actions. The game employs a Case-Based Morning Report format designed to provide hands-on learning experiences. The gameplay involves three cards presented to students, each containing different types of medical information: a patient’s description, their symptoms, and their examination results. Based on this data, students must create a diagnostic scenario and discuss it with a licensed pediatrician, who serves as the moderator. The moderator ultimately determines the best scenario based on logical reasoning and medical accuracy. The moderator is always an expert in the domain and a university professor, which already ensures a high level of reliability.In addition, we conducted a single-arm, exploratory pilot study with undergraduate medical students (n = 100) from first to fourth year (Med1–Med4) at the Holy Spirit University of Kaslik (USEK). Participants engaged with the DMRCT platform during scheduled sessions. After gameplay, they completed a structured Likert-scale survey measuring perceived critical thinking improvement, engagement, interface usability, and competitive pressure. Objective gameplay metrics (reaction time, diagnostic accuracy, number of errors) were recorded automatically by the platform’s backend.This problem-based learning approach fosters excitement, interactivity, and competitiveness, transforming critical training into an engaging experience.ResultsOur multiplayer educational game is hosted on a web-based platform, enabling students to engage in critical thinking exercises remotely. The participants in each session consist of two opposing teams of medical students, who analyze and discuss the case information before presenting their scenarios. The moderator evaluates the scenarios and awards points based on the accuracy and reasoning presented. Our critical thinking game was tested with 100 medical students (Med1–Med4) through randomized clinical scenarios. Feedback revealed that students viewed the game as a valuable complement to traditional morning rounds, enhancing diagnostic synthesis, problem-solving, and decision-making, particularly for advanced learners. Students reported increased motivation, teamwork, and the ability to practice decision-making in a low-risk environment. Technical evaluations confirmed the platform’s reliability, real-time scoring, and analytics integration, with pilot sessions showing active participation, multiple valid diagnoses, and meaningful moderator-student interactions that deepened clinical reasoning skills.ConclusionBy immersing students in dynamic, field-relevant scenarios, our critical thinking game enriches analytical reasoning, problem-solving abilities, and clinical judgment. Transforming education into an interactive, game-based experience cultivates skilled, confident practitioners prepared to meet the complex challenges of real-world pediatric care. The pilot evaluation among medical students revealed high engagement, improved diagnostic accuracy, and a positive perception of clinical reasoning development. 
653 |a Collaboration 
653 |a Decision making 
653 |a Gamification 
653 |a Product development 
653 |a Medical education 
653 |a Computer Simulation 
653 |a Educational Opportunities 
653 |a Behavior Modification 
653 |a Critical Thinking 
653 |a Educational Practices 
653 |a Architecture 
653 |a Experiential Learning 
653 |a Distance Education 
653 |a Active Learning 
653 |a Educational Methods 
653 |a Communication (Thought Transfer) 
653 |a Empathy 
653 |a Computer Oriented Programs 
653 |a Feedback (Response) 
653 |a Databases 
653 |a Accuracy 
653 |a Educational Objectives 
653 |a Electronic Learning 
653 |a Student Motivation 
653 |a Decision Making Skills 
653 |a Evaluative Thinking 
653 |a Formative Evaluation 
653 |a Educational Experience 
653 |a Database Management Systems 
653 |a Educational Facilities Improvement 
700 1 |a Zeeny, Charbel  |u Holy Spirit University of Kaslik, USEK, KASLIK, School of Engineering, Jounieh, Lebanon (GRID:grid.444434.7) (ISNI:0000 0001 2106 3658) 
700 1 |a Cheiban, Kenneth  |u Holy Spirit University of Kaslik, USEK,, School of Medicine and Medical Sciences, KASLIK Jounieh, Lebanon (GRID:grid.444434.7) (ISNI:0000 0001 2106 3658) 
700 1 |a Margossian, Garo  |u Holy Spirit University of Kaslik, USEK, KASLIK, School of Engineering, Jounieh, Lebanon (GRID:grid.444434.7) (ISNI:0000 0001 2106 3658) 
700 1 |a Ghorayeb, Zaki  |u Holy Spirit University of Kaslik, USEK,, School of Medicine and Medical Sciences, KASLIK Jounieh, Lebanon (GRID:grid.444434.7) (ISNI:0000 0001 2106 3658); University Hospital, Notre Dame des Secours, Byblos, Lebanon (GRID:grid.444434.7) 
700 1 |a Massoud, Chadi  |u Holy Spirit University of Kaslik, USEK, KASLIK, School of Engineering, Jounieh, Lebanon (GRID:grid.444434.7) (ISNI:0000 0001 2106 3658); Université La Sagesse, Faculty of Public Health, Furn el Chebbak , Lebanon (GRID:grid.444379.9) (ISNI:0000 0001 2078 1025) 
700 1 |a Rihana, Sandy  |u Holy Spirit University of Kaslik, USEK, KASLIK, School of Engineering, Jounieh, Lebanon (GRID:grid.444434.7) (ISNI:0000 0001 2106 3658) 
773 0 |t BMC Medical Education  |g vol. 26, no. 1 (Dec 2026), p. 90 
786 0 |d ProQuest  |t Healthcare Administration Database 
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