{"pk":14356,"title":"The Challenging Case Conference: A Gamified Approach to Clinical Reasoning in the Video Conference Era","subtitle":null,"abstract":"The development of clinical reasoning abilities is a core competency of emergency medicine (EM) resident education and has historically been accomplished through case conferences and clinical learning. The advent of the SARS-CoV-2 pandemic has fundamentally changed these traditional learning opportunities by causing a nationwide reliance on virtual education environments and reducing the clinical diversity of cases encountered by EM trainees.\nWe propose an innovative case conference that combines low-fidelity simulation with elements of gamification to foster the development of clinical reasoning skills and increase engagement among trainees during a virtual conference. After a team of residents submits a real clinical case that challenged their clinical reasoning abilities, a different team of residents “plays” through a gamified, simulated version of the case live on a video conference call. The case concludes with a facilitated debriefing led by a simulation-trained faculty, where both the resident teams and live virtual audience discuss the challenges of the case. Participants described how the Challenging Case Conference improved their perceptions of their clinical reasoning skills. Audience members reported increased engagement compared to traditional conferences. Participants also reported an unexpected, destigmatizing effect on the discussion of medical errors produced by this exercise. Residency programs could consider implementing a similar case conference as a component of their conference curriculum.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Gamification"},{"word":"Medical Education"},{"word":"clinical reasoning"}],"section":"Education Special Issue - Brief Educational Advances (Limit 1500 words)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6d6359n0","frozenauthors":[{"first_name":"Scott","middle_name":"","last_name":"Kobner","name_suffix":"","institution":"LAC+USC Medical Center, Keck School of Medicine, University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Molly","middle_name":"","last_name":"Grassini","name_suffix":"","institution":"LAC+USC Medical Center, Keck School of Medicine, University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Nhu-Nguyen","middle_name":"","last_name":"Le","name_suffix":"","institution":"LAC+USC Medical Center, Keck School of Medicine, University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Jeff","middle_name":"","last_name":"Riddell","name_suffix":"","institution":"LAC+USC Medical Center, Keck School of Medicine, University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"}],"date_submitted":"2020-07-16T04:29:27Z","date_accepted":"2020-07-16T04:29:27Z","date_published":"2020-12-23T20:00:48Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14356/galley/7374/download/"}]}