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{
    "pk": 15672,
    "title": "A Virtual Escape Room versus Lecture on Infectious Disease Content: Effect on Resident Knowledge and Motivation",
    "subtitle": null,
    "abstract": "Introduction:\n Medical educators are constantly seeking methods to increase engagement in the era of coronavirus disease 2019 (COVID-19) where virtual and blended learning formats are increasingly common. Educational escape rooms have previously been used to motivate learners, enhance communication skills, and cultivate teamwork. However, it is not known whether escape rooms increase learner knowledge as compared to a lecture format. \nMethods:\n This quasi-experimental study included 30 emergency medicine residents at two programs who participated in both a virtual escape room and a lecture on infectious disease content. Learners completed a pre- and post-quiz and a tool to gauge resident motivation for each activity (the Intrinsic Motivation Inventory [IMI]). The primary objective was to determine a change in knowledge as a result of the activities, and a secondary objective was to determine resident motivation for each format.\nResults:\n At both programs learners demonstrated a significant improvement in their pre- vs. post-quiz scores for the escape rooms (University of California Irvine [UCI]: 77.8% to 88.9%, p = 0.028, Prisma: 73.81% to 89.68%, p = 0.002), whereas the lectures did not impact a statistical improvement (UCI: 73.8% to 78.6%, p = 0.460, Prisma: 85.71% to 91.27%, p = 0.236). Learners at UCI noted equivalent results on the IMI for both formats, while residents at Prisma noted they were more motivated by the escape room.   \nConclusion:\n Emergency medicine residents at two programs participating in a virtual escape room demonstrated a statistical increase in knowledge on infectious disease content as compared to a lecture format and reported positive motivation ratings for both formats, with one program preferring the escape room.",
    "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": "escape room, medical education, emergency medicine, gamification, infectious disease"
        }
    ],
    "section": "Education Special Issue - Original Research (Limit 3500 words)",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0hg94253",
    "frozenauthors": [
        {
            "first_name": "Sara",
            "middle_name": "Paradise",
            "last_name": "Dimeo",
            "name_suffix": "",
            "institution": "Prisma Health Upstate, Department of Emergency Medicine\nUniversity of South Carolina, Greenville School of Medicine",
            "department": "None"
        },
        {
            "first_name": "Caroline",
            "middle_name": "",
            "last_name": "Astemborksi",
            "name_suffix": "",
            "institution": "Prisma Health Upstate, Department of Emergency Medicine, Greenville, South Carolina",
            "department": "None"
        },
        {
            "first_name": "Jonathan",
            "middle_name": "",
            "last_name": "Smart",
            "name_suffix": "",
            "institution": "University of California, Irvine School of Medicine, Department of Emergency Medicine, Orange, California",
            "department": "None"
        },
        {
            "first_name": "Emily",
            "middle_name": "L.",
            "last_name": "Jones",
            "name_suffix": "",
            "institution": "Johns Hopkins School of Education, Masters of Education for Healthcare Professionals Program, Baltimore, Maryland",
            "department": "None"
        }
    ],
    "date_submitted": "2021-07-02T00:22:07+01:00",
    "date_accepted": "2021-07-02T00:22:07+01:00",
    "date_published": "2022-01-03T08:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/15672/galley/7868/download/"
        }
    ]
}