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Case-based Learning and Artificial Intelligence-based Gamification to Improve Undergraduate Students' Motivation for
Cihan Papan1,2, Esther Sib1, Christiane Schreiber1
1Institute for Hygiene and Public Health, University of Bonn, University Hospital Bonn, Venusberg-Campus 1, Building 63, Bonn, Germany.
Medical Science Educator
|July 13, 2026
Summary
A pilot study shows that case-based learning (CBL) significantly boosts medical students
Area of Science:
- Medical Education
- Environmental Medicine
- Public Health
Background:
- The One Health approach (OHA) emphasizes the interconnectedness of human, animal, and environmental health.
- Educating medical students on environmental medicine, OHA, and climate change is crucial.
- Traditional teaching methods may not fully engage students in these complex topics.
Purpose of the Study:
- To assess the feasibility and effectiveness of a novel teaching format for environmental medicine.
- To evaluate the impact of this format on medical undergraduates' motivation.
- To incorporate One Health approach (OHA) and climate change education.
Main Methods:
- A pilot study was conducted using a new format combining large language models, gamification, and case-based learning (CBL).
- Medical undergraduates participated in the environmental medicine curriculum.
- Student motivation was measured using the Intrinsic Motivation Inventory (IMI) scale.
Main Results:
- The case-based learning (CBL) format demonstrated higher scores across all Intrinsic Motivation Inventory (IMI) subscales.
- Ordinal logistic regression revealed a significant association between the CBL format and increased IMI scores (ORs 1.65–2.69).
- The novel format proved feasible and effective in enhancing student motivation.
Conclusions:
- Case-based learning (CBL) is a highly effective pedagogical approach for teaching environmental medicine to medical students.
- Integrating large language models and gamification within CBL can significantly enhance student motivation.
- This approach supports a comprehensive understanding of the One Health approach (OHA) and climate change impacts.