Trial reportDiagnosis (Berlin, Germany)2024
Game-based learning to improve diagnostic accuracy: a pilot randomized-controlled trial.
Trial report in Diagnosis (Berlin, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- Re-Imagining Clinical Reasoning: An Updated Cognitive Framework for Real-World Medical Practice.Journal of evaluation in clinical practice · 2026Review
- Harnessing the Potential of Technology for Learners in Nephrology and Medicine.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Games to Improve the Clinical Skills of Nursing Students: Systematic Review of Current Evidence.Asian/Pacific Island nursing journal · 2025Review
- Game-based learning in orthopaedics: A comprehensive review.Journal of clinical orthopaedics and trauma · 2025Article
- Beyond thinking fast and slow: a Bayesian intuitionist model of clinical reasoning in real-world practice.Diagnosis (Berlin, Germany) · 2025Article
- Comparison Between Game-Based Learning and Traditional Learning Methods in Traumatic Dental Management Among Dental Interns at KAUFD.Clinical, cosmetic and investigational dentistry · 2025Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
objectivesPerform a pilot study of online game-based learning (GBL) using natural frequencies and feedback to teach diagnostic reasoning.
methodsWe conducted a multicenter randomized-controlled trial of computer-based training. We enrolled medical students, residents, practicing physicians and nurse practitioners. The intervention was a 45 min online GBL training vs. control education with a primary outcome of score on a scale of diagnostic accuracy (composed of 10 realistic case vignettes, requesting estimates of probability of disease after a test result, 0-100 points total).
resultsOf 90 participants there were 30 students, 30 residents and 30 practicing clinicians. Of these 62 % (56/90) were female and 52 % (47/90) were white. Sixty were randomized to GBL intervention and 30 to control. The primary outcome of diagnostic accuracy immediately after training was better in GBL (mean accuracy score 59.4) vs. control (37.6), p=0.0005. The GBL group was then split evenly (30, 30) into no further intervention or weekly emails with case studies. Both GBL groups performed better than control at one-month and some continued effect at three-month follow up. Scores at one-month GBL (59.2) GBL plus emails (54.2) vs. control (33.9), p=0.024; three-months GBL (56.2), GBL plus emails (42.9) vs. control (35.1), p=0.076. Most participants would recommend GBL to colleagues (73 %), believed it was enjoyable (92 %) and believed it improves test interpretation (95 %).
conclusionsIn this pilot study, a single session with GBL nearly doubled score on a scale of diagnostic accuracy in medical trainees and practicing clinicians. The impact of GBL persisted after three months.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.