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'Dragon's Den': Gamifying Handover Skills Teaching
Mary Catherine Mina1, Mu'Azzamah Ahmad1, Janet Skinner1
1Clinical Skills Centre, Edinburgh BioQuarter Chancellor's Building, Edinburgh Medical School, University of Edinburgh, Edinburgh, UK.
The Clinical Teacher
|January 26, 2026
Summary
This study shows gamified clinical simulation significantly improves medical students' confidence and preparedness in patient handover and referral skills. This interactive, peer-led approach is a scalable, low-resource teaching method for modern medical education.
Area of Science:
- Medical Education
- Patient Safety
- Simulation-Based Learning
Background:
- Effective patient handovers are crucial for patient safety.
- Traditional teaching methods for handover skills often require significant faculty resources.
- This study explored a novel, gamified approach to enhance handover and referral skills training.
Purpose of the Study:
- To evaluate the impact of a gamified clinical simulation on medical students' self-reported confidence and preparedness in handover and referral skills.
- To assess the feasibility and effectiveness of a 'Dragon's Den'-style interactive workshop.
- To explore student perceptions of a gamified learning experience.
Main Methods:
- A 90-minute workshop utilized a 'Dragon's Den'-inspired format with students evaluating video handovers.
- Paired practice of referrals with peer feedback was incorporated using a structured checklist.
- Pre- and post-session surveys measured changes in self-reported confidence and preparedness.
Main Results:
- Statistically significant improvements were observed in both student confidence and preparedness.
- Qualitative feedback indicated the session was engaging, relevant, and valuable.
- Students suggested earlier curriculum integration and additional resources.
Conclusions:
- Gamified clinical simulation is an effective method for teaching handover skills.
- The peer-led, experiential format is a scalable, low-resource educational strategy.
- This model has potential for broader application in various educational settings.
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