Highly detailed analysis of potential for gamification in health sciences.

2. Application of Elements of Gamification
Strategies to GCP
David Chandross, M.Ed., M.Sc., Ph.D.
Ryerson University and Baycrest Health Sciences
Gaming and Concept Mapping
Gaming and Motivation
Gaming and Clinical Simulation
Game-Based Learning Design

3. What is a Game?
Structured Form of Play
Play is Exploration Within Boundaries

4. Serious Games
70% of Fortune 500 Companies
Military: Friday PM Sessions
Commerce: Customer Loyalty Programs
Industry: Ribbon Hero
Patient Participation: Diabetes, Addiction
Personal Motivation: Zombie Run
Social Connectedness: Seniors Wii Bowling Leagues
Health Professions Education

5. Names to Watch
Amy Jo Kim
Jane McGonigal
Scott Nicholson
Mario Herger
Andrzej Marczewski
Gabe Zichermann

6. Gamification Industry Stats
2012: $242M
2015: $1.7B, 2018: $5.5B Estimated Growth
14% Higher In Skill-Based Assessments
11% Gain in Factual Knowledge
9% Increase in Retention Rate
79% of Employees and University Students agree that
it would make them more productive

7. Games for Health Professions Education
Hygiea I
Hygiea II
Cascade Unplugged
Cascade Application for iPad and Android
Trigger
Sandbox Games, Knowledge Recall Games
Game mechanics used for Training HCP

8. Exploration

9. Social Connectedness

10. Achievement

11. Competition

12. Bartle's Player Types
Explorers, Socializers, Achievers, Sharks

13. Engagement

14. DOSE-E
Dopamine: Reward Systems, High Frequency Reward
Oxytocin: Connection, Social Engagement
Serotonin: Calm, Mastery and Confidence
Endorphin: Excitement, Risk, Randomness
Endocannibinoids: Novelty Persistence

15. What Does the Literature Say About
Learning?

16. Situated Cognition and Cognitive
Apprenticeship

17. Situated Cognition and Cognitive
Apprenticeship

18. Problem Based Learning Hybrid with
Simulation and Gamification

19. Concept Map

20. Motivation

21. Types of Motivation

22. Intrinsic Motivation

23. Fostering Intrinsic Motivation

24. Intrinsic Motivation from Gamification

25. Self Sufficient Verses Dependent Learners

26. Intrinsic Motivation as a Stable Trait
Multiple Types of Motives Don't Multiply the Motivation of West Point Cadets:
PNAS , July 2014, Wrzesniewski, Schwartz et al

27. Linking IM and Concept Mapping
Through Gamification

28. Narrative

29. Avatar

30. Narrative Driving the Concept Map

31. Gamification, Game-Based Learning,
Gameworld
Gamification: The use of game mechanics for
engagement, training or performance improvement.
Game-Based Learning: The use of game mechanics
to facilitate learning of declarative, procedural or
tacit knowledge.
Gameworld: Virtual reality or a simulation of reality
with its own boundaries, rules and outcomes. There
is no “game” per se, it relies on immersiveness.

32. Healer's Quest
Immersive Gameworld
When he taught at Ryerson University, David Chandross noticed that students
who did poorly with conventional lecture-based classes tended to perform a
full letter grade better after he transformed a human anatomy and physiology
course aimed at first-year nursing and midwifery students into one based
around a game he’d created called Healer’s Quest. In this experiment, from
2001 to 2003, Dr. Chandross continued to give a one-hour lecture during each
three-hour class, twice a week. But now the bulk of the course was spent
playing the competitive, non-digital multi-player game.
University Affairs, Moira Macdonald, January 14, 2015

33. Healer Quest Mechanics
Group A
Level PtQuiz Scores
Solve
Experience Pt
Healing Points
Easy
Case
Hard
Case
Mid
Case

34. Character Classes
Seer
Level I Level 2 Level 3 Level 4 Level 5
X Ray CT IVP MRI Atomic

35. Class Levels Determine Diagnostic Tests
or Available Treatments: UNLOCKING
Alchem
1 2 3 4 5
Seer
1 2 3 4 5Priest
1 2 3 4 5
Shaman
Case
HP

36. Die Roll Outcome
Probability Table Based on Alchemist Level

37. In-Game Scoring
Rounds and End Game
XP
1000
XP
290
XP
2500
Round Winner
Most XP or
XP/HP
XP
1500

38. Problem Based Learning Episodes
Relevant
Physiology
Diagnostic
Tests
Clinical
Decision
Need to Know
Known
Must Research
Treatment Plan

39. Simulation Games

40. Modular Gaming and Time Limited
Simulations
Cascade for the CLRI at Baycrest
Dr. Raquel Meyers, R.N. Ph.D.
Jennifer Regundin, M.Sc.N.

41. Cascade App
Gamification System

42. Cascade: Action Point System
Case
Easy
Case
Hard
Action Points
6 Total

43. SBAR and SOS Data
SBAR/SOS
Data Collection
Critical Path 1
Easy Case
Critical Path 2
Hard Case
PSW
RN

44. Scoring
Key is to Spend as Few Action Points as Possible to Gain the Highest Score
Over 50 Minutes
Can Have Up To 3 Cases Open at a Time
Case Income
10K
Wager
Multiplier
eg. 2X
Case Score
20K

45. Level Up/Wager Action Points
Adds Strategic Depth and is a Measure of Confidence
Wager Action Points Higher Reward

46. Trigger, Islands
Game Based Learning and Review

47. Knowledge Island Map
Teams Place Markers for Each Correct Answer
Correct Answer Gives One More Question
Move Through Groups 1-6

48. High Verses Low Strategic Depth (SD)
SD Increases Engagement, Replayability
Increasing Player Choices Increases Agency

49. Randomness
Increases Risk and Surprise
Teaches Learner to Manage Opportunity or Challenge

50. Game Design Elegance
How the Players Distribute “Chips” Can Cause Instant, Unexpected Changes in
the Game Outcome, But Not So Much That it Compromises Effort

51. Online Tools
Learning Management System

52. Gamification Platforms

53. Online Tools
Blogs, Forums, Facebook Page

54. Text-Driven Leveling System
Baycrest Geriatric Internship Program

55. Hygiea II
6 Week Internship
20 Students
Quests – Cases, Achieve XP by Completing
Individual or Group: Group Provides Bonus
Level 1-4 Case Difficulty (22 Cases Total)
Random Time Limited Quests (cert., real life situation)
Boss Fights: Triple Jump Die Roll Outcome

56. Age Well
Gamification for Senior's Connectedness

57. David Kaufman, SFU

58. Adventure Health Gaming
Daniel Glazier Grant in Addiction Medicine for Adolescents
CPSO
Leah Steele, M.D., Ph.D., Allen Kalpin, M.D.

59. Badge, Leaderboard Systems
Adults in Methadone Treatment

60. Creativity

61. Game Design and Creativity

62. PLAY: Exploration within Boundaries

63. Implementation Roll Out

64. Critical Path
1. Form Game Design Teams
2. Create Behavioral Objectives: Instructional Design
3. Create Game Mechanic: Game Designer
4. Design In-Game Currency System: ID and GD
5. Determine Winning Conditions: ID and GD
6. Define Leaderboard System and End Game: GD

65. Summary
Game Flow is Everything!

66. Thanks for Playing!