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Medical educators must develop instructional methods suiting the learning styles of their students. Simulation-based curriculums are popular among resident physicians, and have been shown to improve information recall and diagnostic abilities, and to sustain proficiency of procedural skills.1 The gamification of learning, a mechanism that engages students by integrating serious-game elements into the educational environment, has recently been explored.2 At our emergency medicine residency, we aimed to create a hybrid of the two models that would profit from each method's individual strengths.
Recursive objective-based gameplay (ROBG) is a serious-game scheme in which participants are allowed infinite lives so that they can achieve predetermined criteria for progression through multiple levels of increasing difficulty. The concept resembles time loops, a plot device used in the film Edge of Tomorrow (Warner Bros Pictures 2014). We named our simulation/ROBG hybrid instructional method ‘LIVE. DIE. REPEAT.’(LDR), after the tagline featured on promotional materials for the aforementioned film.
We designed a LDR curriculum targeting critical management concepts in emergent pulmonary conditions. In this manuscript, we describe the LDR concept and design, and present initial evidence supporting the effectiveness of this model in training emergency medicine residents.
The LDR design and pulmonary scenario was developed and piloted for the Mayo Clinic Emergency Medicine Residency at the Mayo Clinic Multidisciplinary Simulation Center in Rochester, Minnesota, USA. …
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