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Unlocking learning: evaluating case-based learning versus escape rooms for first-year dental students: a
Muhammad Daniyal Shafqat1, Inibehe Ime Okon2, Aisha Rafi3
1Shifa International Hospital, Islamabad, Pakistan.
Annals of Medicine and Surgery (2012)
|August 25, 2025
Summary
Both case-based learning (CBL) and escape room activities improved dental students' performance. Escape rooms offered higher enjoyment and perceived usefulness, highlighting the potential of gamification in medical education.
Area of Science:
- Medical Education
- Dental Education
- Neuroendocrinology
Background:
- This study compares case-based learning (CBL) and escape room activities for teaching the neuro-endocrine module to first-year dental students.
- The escape room incorporated gamification with clinical science tasks, including trauma scenarios and virtual dissections.
Purpose of the Study:
- To evaluate the effectiveness of CBL versus escape room activities on dental student performance.
- To assess student perceptions regarding these two small-group teaching methods.
Main Methods:
- A quasi-experimental design with 50 first-year dental students in Islamabad, Pakistan.
- Students were randomly assigned to either CBL or escape room groups, both requiring teamwork and collaboration.
- Performance was measured via pre- and post-tests, and perceptions were gathered using a Likert scale feedback form.
Main Results:
- Both teaching methods significantly improved student scores (P < 0.001).
- No significant performance difference was found between CBL and escape room interventions (P = 0.855, P = 0.652).
- Escape room activities resulted in higher reported enjoyment and perceived usefulness.
Conclusions:
- Case-based learning and escape room activities are effective in enhancing dental student performance.
- Gamification and interactive elements in teaching methods can boost teamwork and student satisfaction.

