How I Do It: "And That's a BINGO!" Using a Self-Directed, Gamified Instrument to Structure Learning on the Obstetrics...

Area of Science:

• Medical Education
• Obstetrics and Gynecology
• Gamification in Learning

Background:

• Clinical exposure in obstetrics clerkships is inconsistent, leading to uncertainty in medical student expectations and skill acquisition.
• Variability in clinical experiences hinders the development of essential clinical and procedural competencies.

Purpose of the Study:

• To develop and implement an obstetrics (OB) BINGO board to standardize learning objectives.
• To enhance learner autonomy and active engagement within the dynamic obstetrics clinical environment.

Main Methods:

• Developed an OB BINGO board based on self-directed learning theory and gamification principles.
• Mapped Association of Professors of Gynecology and Obstetrics clerkship objectives to 24 clinical and procedural tasks.
• Iteratively refined the instrument using rapid evaluation within a tertiary academic medical center's labor and delivery unit.

Main Results:

• 88.5% of 118 participating medical students achieved at least one BINGO, indicating high engagement.
• The OB BINGO board clearly defined achievable clinical and procedural goals, aligning with learning objectives.
• Students reported improved clarity of expectations, proactive engagement, and a structured approach to identifying learning opportunities.

Conclusions:

• A gamified BINGO board provides a practical and scalable method for structuring learning in obstetrics clerkships with variable clinical exposure.
• This reproducible framework can be adopted by educators to enhance learning without increasing the burden on students or supervisors.