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Critical thinking gamification in medical education.

Marie Claude Fadous1,2,3, Charbel Zeeny4, Kenneth Cheiban1

  • 1School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, USEK,, KASLIK Jounieh, Lebanon.

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|December 11, 2025
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Summary

This critical thinking game enhances medical students' clinical reasoning and diagnostic skills through interactive, simulated patient cases. The gamified approach improves engagement and decision-making in a low-risk environment, preparing future practitioners for real-world challenges.

Keywords:
Critical thinkingGamificationMedical educationOnline education

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Area of Science:

  • Medical Education
  • Health Professions Education
  • Digital Health

Background:

  • Innovative approaches are crucial for advancing health and medical education.
  • Gamification enhances engagement and knowledge acquisition in medical training.
  • Critical thinking is vital for accurate medical decisions and improved patient outcomes.

Purpose of the Study:

  • To develop and evaluate a critical thinking game for pediatric medical students.
  • To improve clinical reasoning and diagnostic skills through simulated cases.
  • To assess the game's impact on engagement, learning, and decision-making.

Main Methods:

  • A web-based, multiplayer critical thinking game simulating realistic clinical cases was developed.
  • Medical students (n=100) participated in a pilot study using randomized clinical scenarios.
  • Gameplay involved teams diagnosing cases against the clock, with expert pediatrician moderation.
  • Surveys and objective metrics assessed critical thinking, engagement, usability, and performance.

Main Results:

  • The game served as a valuable supplement to traditional training, enhancing diagnostic synthesis and problem-solving.
  • Students reported increased motivation, teamwork, and confidence in decision-making.
  • Objective data confirmed platform reliability, active participation, and meaningful interactions that improved clinical reasoning.

Conclusions:

  • The game effectively enhances analytical reasoning, problem-solving, and clinical judgment in medical students.
  • Gamified, interactive scenarios prepare practitioners for complex pediatric care challenges.
  • Pilot results indicate high engagement and improved diagnostic accuracy, supporting clinical reasoning development.