Journal
AMERICAN JOURNAL OF SURGERY
Volume 219, Issue 2, Pages 283-288Publisher
EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjsurg.2019.10.051
Keywords
Gamification; Teams; Surgery; Residency; Assessment
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Background: Comprehensive studies evaluating the efficacy of team-based competition (Gamification) in surgery have not been performed. Board pass rates and resident satisfaction may improve if surgical residents are involved in competition. Methods: Residents at Montefiore Medical Center (Bronx, New York) were surveyed and separated into teams during a draft. Each resident's performance was converted into a point system. Resident scores were combined into a team score and presented as a leaderboard. Awards were given. ABSITE, ACGME residency satisfaction, and ABS qualifying exam pass rates were compared. Results: Sixty percent of residents are inspired to improve their performance during gamification. ABSITE average percentile score improved from 28 to 43. ABS qualifying exam pass rates improved from 73% to 100%. Resident satisfaction improved from 65% to 88%. The point system allowed for establishing growth curves for each resident enabling enhanced assessment of residents. Conclusions: A comprehensive team-based competition inspires performance, is feasible, and seems to improve ABSITE scores, ABS pass rates, and satisfaction while being a tool for assessment of performance. (C) 2019 Elsevier Inc. All rights reserved.
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