Highlighted presentation　AMEE2019

1. Impact of a career simulation program
using gamification with virtual turning
point for medical students in Japan
●Shuzo Teruya1 Ayako Shibata2 Tatsuya Fujii3
Junichi Tanaka4 Takeshi Kondo5
1．Okinawa Yaeyama Hospital, Internal medicine
2．Yodogawa Christian Hospital, Obsterics & Gynecology
3. Sanno Hospital, Orthopedics
4. Tohoku University Hospital, Department of Edecation and
Support for Regional Medicine
5. Nagoya University Hospital, Center for Postgraduate Clinical
Training and Career Development

2. Career is ……

3. Well-being
Mayo Clin Proc. 2013 Dec;88(12):1358-67.
J Gen Intern Med. 2016 May; 31(5): 458–459.
Burnout

4. Cultural characterics of Japan
Hofstede Center
https://www.hofstede-insights.com/product/compare-countries/

5. Scenario and Character sheet

8. 8
4
8 5
8
6

9. 8
4
8 5
8
6

10. 8
4
8 5
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Memory

11. 8
4
8 5
8
6
Memory
24 Male
Father (MD)
ABC university
Kendo
Tracelling overseas Seeing is believing.
Work for MEDECINS SANS FRONTIERES Going to marry my girlfriend in a year.

14. Learn the latest research methods
Less time to play with friends
Began to walk a
path to a lonely
researcher

15. Career transition : DOTS model
and Schlossberg’s 4Ss
Factors of
DOTS
Schlossberg’s
4Ss
Contents
Self awareness Self Character setting sheet
Opportunity
awareness
Support/Situati
on
Turning point cards
Decision
making
Strategies Discussion of response to
turning point
Transition
Learning
Strategies Discussion of response to
turning point

16. Gamification : MDA Framework
MDA Framework
factors
Game Contents
Mechanics Experience the life of a fictitious
docter
Dynamics Discuss respond to turning points
Aesthetics Gain new options by interacting with
free ideas

17. Characteristics of the student
95
36
Female
Male
Gender

18. Pre-Post changes :
strength and new adviser
71
60
39
92
New strength
No change
New adviser
No change
New strength New adviser for career

19. 0 5 10 15 20 25 30
Environmental Adaptability
Support(Family, Friends)
Toughness
Patience
Optimistic
Attitude
Communication Skill
Strength
Pre Post
Pre-Post changes:Strength

20. 0%
50%
100%
Pre-Post changes : Adviser
Pretest Posttest