Trial reportEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026
The role of leaderboards for gamification in virtual reality simulation mastoidectomy training: a controlled trial.
Trial report in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
6 authors.
Funding
Abstract
purposeThere is a rising interest in providing safe, effective, and sustainable surgical training strategies in otology. Despite the wide landscape of training modalities, a key factor in improving surgical skills is motivation. In this explorative, randomized controlled trial, we aimed to preliminarily assess the effectiveness of a leaderboard as a gamification feature to boost residents’ engagement in training with a virtual reality simulator for mastoidectomy.
methodsUniversity of Padova (Italy) Otolaryngology residents were enrolled and randomly allocated into two groups submitted to a virtual simulation program: a study group, where training was enhanced with gamification (leaderboard), and a control group without gamification. Each group had four weeks to practice on the simulator; the number of residents who actually used the simulator, as well as the number of training sessions per active participant were evaluated.
resultsThe leaderboards, used as a gamification element in the study, appeared to enhance the use of the simulator: non-use rate was 18% in the intervention group and 31% in the control one, whereas the frequency of participants who completed more than one simulation was significantly higher in the study vs. the control one (Fisher’s exact test: p=0.042).
conclusionOur findings suggest that leaderboards as a gamification strategy could enhance residents’ engagement in training with a virtual reality temporal bone surgical simulator.
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