Nahush A. Mokadam, MD, Richard Lee, MD, MBA, Ara A

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Presentation transcript:

Gamification in thoracic surgical education: Using competition to fuel performance Nahush A. Mokadam, MD, Richard Lee, MD, MBA, Ara A. Vaporciyan, MD, Jennifer D. Walker, MD, Robert J. Cerfolio, MD, MBA, Joshua L. Hermsen, MD, Craig J. Baker, MD, Rebecca Mark, MBA, Lauren Aloia, BS, Dan H. Enter, MD, Andrea J. Carpenter, MD, Marc R. Moon, MD, Edward D. Verrier, MD, James I. Fann, MD The Journal of Thoracic and Cardiovascular Surgery Volume 150, Issue 5, Pages 1052-1058 (November 2015) DOI: 10.1016/j.jtcvs.2015.07.064 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Game board from “Jeopardy” competition. Five topics with 5 questions each were organized with ascending monetary values for each round. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 1052-1058DOI: (10.1016/j.jtcvs.2015.07.064) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Performance assessment for “Top Gun” baseline and final video submission. Improvement noted in all areas of assessment, using a validated assessment tool.13 1, Arteriotomy; 2, Graft orientation; 3, Bite; 4, Spacing; 5, Needle holder use; 6, Use of forceps; 7, Needle angles; 8, Needle transfer; 9, Suture management; 10, Knot tying; 11, Hand mechanics; 12, Use of both hands; 13, Economy of time. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 1052-1058DOI: (10.1016/j.jtcvs.2015.07.064) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Practice before baseline. Several residents completed anastomoses before submitting a baseline performance. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 1052-1058DOI: (10.1016/j.jtcvs.2015.07.064) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Ritual behavior by a finalist during live competition. This resident brought a nonslip, antiglare mat, instruments, and arranged the equipment deliberately. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 1052-1058DOI: (10.1016/j.jtcvs.2015.07.064) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Open anastomosis examination by judges during final competition. Careful attention could be paid to bite size and spacing, as well as overall anastomotic configuration. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 1052-1058DOI: (10.1016/j.jtcvs.2015.07.064) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Postgraduate year distribution of participants for online screening examination. Unk, Unknown; PGY, postgraduate year. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 1052-1058DOI: (10.1016/j.jtcvs.2015.07.064) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 7 A, Pretest score distribution. The raw scores of the contestants are shown (of a total of 60 questions). B, Team score distribution. The combined raw scores of the teams are shown. The top 6 teams were invited to the final competition. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 1052-1058DOI: (10.1016/j.jtcvs.2015.07.064) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 8 Self-reported ITE score. The national median is 50th percentile. ITE, In-Training Examination. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 1052-1058DOI: (10.1016/j.jtcvs.2015.07.064) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Authors E. V. , R. M. , J. F. , N. M. , J. W. , A. V. , L. A. , R. C Authors E.V., R.M., J.F., N.M., J.W., A.V., L.A., R.C. (not pictured: R.L., J.H., C.B., D.E., A.C., M.M.). The Journal of Thoracic and Cardiovascular Surgery 2015 150, 1052-1058DOI: (10.1016/j.jtcvs.2015.07.064) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions