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Emergency Department Boarding INitiative Gamification Overhaul (ED-BINGO)
Allan Winger1, Kelsey Van Housen2, Rebecca Kamens3
1UCI Health Los Alamitos Los Alamitos California USA.
AEM Education and Training
|June 8, 2026
Summary
Emergency Department (ED) boarding impacts medical education. An optional ED-BINGO curriculum improved student engagement, learning, and perceived value during Emergency Medicine (EM) clerkships, suggesting gamification benefits.
Area of Science:
- Medical Education
- Emergency Medicine
- Gamification in Healthcare
Background:
- Emergency Department (ED) boarding negatively affects patient flow and medical student education.
- A novel curriculum was developed to address lost educational opportunities during Emergency Medicine (EM) clerkships.
- The curriculum aimed to enhance interprofessional collaboration, procedural competency, and understanding of ED flow.
Purpose of the Study:
- To evaluate the educational value and student enjoyment of an optional ED-BINGO curriculum.
- To assess the impact of the ED-BINGO activity on medical students' understanding of ED operations and their perceived contribution to the healthcare team.
Main Methods:
- An optional ED-BINGO curriculum was offered to medical students during their EM clerkships.
- Students received a BINGO card with 25 patient care activities relevant to EM.
- Participants were surveyed on educational value and enjoyment using a 5-point Likert scale.
Main Results:
- Out of 120 students, 32 completed surveys (26.7%), and 16 used the ED-BINGO card (13.4%).
- Students found the tasks appropriate for their training level and felt the activity enhanced their understanding of ED flow and improved their skills.
- Participants reported increased feelings of value to the team and desired the activity to remain a permanent part of the rotation.
Conclusions:
- The ED-BINGO activity was perceived as educationally beneficial and enjoyable by medical students.
- While response rates were low, the positive reception suggests gamification can be a valuable tool for adult learners in medical education.
- Further research is needed to confirm the effectiveness of gamified interventions in mitigating educational challenges caused by ED boarding.
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