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Enhancing Emergency Medical Response Education through Generative AI-Powered Game-Based Learning: A Retrospective
Yaning Lai1, Xiaoqin Lai2, Hai Hu3
1Academic Affairs Department, West China Hospital/West China School of Medicine, Sichuan University, Chengdu, China.
Prehospital and Disaster Medicine
|July 16, 2026
Summary
Generative AI-powered game-based learning (AI-GBL) enhances medical students' knowledge acquisition and retention in Emergency Medical Response (EMR) training. This AI-GBL approach also reduces cognitive load compared to traditional methods.
Area of Science:
- Medical Education
- Artificial Intelligence in Education
- Emergency Medical Response Training
Background:
- Traditional lecture-based learning (LBL) is inadequate for developing critical decision-making skills in high-stakes fields like Emergency Medical Response (EMR).
- Game-based learning (GBL) offers immersive training but often lacks real-time expert feedback.
- Integrating generative Artificial Intelligence (AI) as an intelligent tutor within GBL addresses this gap.
Purpose of the Study:
- To compare the effectiveness of LBL, GBL, and AI-GBL on medical students' knowledge acquisition and retention.
- To evaluate the impact of these learning modalities on student motivation and cognitive load.
- To assess the utility of AI-GBL in an EMR context.
Main Methods:
- A retrospective comparative study involved 86 medical students across three cohorts (2022-2024).
- Each cohort experienced one learning modality: LBL (n=29), GBL (n=28), or AI-GBL (n=29).
- Knowledge was measured using pre-test, post-test, and final-test scores; student feedback assessed motivation, cognitive load, and technology acceptance.
Main Results:
- Both GBL and AI-GBL significantly improved immediate knowledge acquisition compared to LBL.
- AI-GBL demonstrated superior delayed knowledge retention over both GBL and LBL.
- AI-GBL resulted in significantly lower cognitive load and was perceived as more useful than GBL.
Conclusions:
- AI-enhanced GBL is a promising model for EMR training, significantly improving knowledge acquisition and retention.
- This approach effectively reduces cognitive load, enhancing learning efficiency.
- AI-GBL shows potential for developing complex medical competencies in high-stakes environments.