Abstract

Background Gamification is the application of game design elements to non-game environments. It has been successfully utilized in the business community to enhance employee motivation and improve productivity. Residents’ conflicting pressures lead to high rates of burnout and studies show that increasing engagement combats burnout. We aimed to integrate a game model into our residency to improve engagement in education, resident wellness and community-building, essential components of residency education per the ACGME. Methods A task-based game was created [Table 1]. Residents (N=85) were randomized into 4 teams, earning points through education, community and wellness activities. Participation occurred over 4 months; prizes were awarded throughout (funded by a grant from APPD NY/NJ Region). Resident wellness was measured with the validated Stanford House Staff Wellness Survey. Other collected data included lecture attendance, participation in board review and advocacy events and nominations for outstanding hospital staff. Statistical analysis utilized chi-square tests, Fisher's exact tests and unpaired 2-tailed t-tests. Results All residents earned points from at least one activity. Residents meeting the attendance requirement increased 130% compared to the year prior (46% vs 20%, p Conclusion Gamification is one method to improve resident engagement. In our program, it resulted in substantially more residents meeting lecture attendance benchmarks, increased participation in board review, and promoted greater peer recognition. Though there was no improvement in burnout indicators, they did remain stable, a change from prior years.

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