ER Game: USMLE, COMLEX, PANCE 1.0

Relevant for a rapid review of content from your ER rotations in medical school or residency including topics for your board exams (USMLE Step 2 CK, COMLEX Level 2 CE, PANCE), clerkship tests (ER shelf exams), and ward pimping (ER docs ask the most diverse pimping questions out of any rotation).

Scrub Wars utilizes the findings of recent groundbreaking research (on enhancing learning in medical education including a landmark article in the Yale Journal of Biology & Medicine) that strongly suggests using gamification to teach complex medical subjects as well as utilizing frequent retesting & spaced repetition to enhance memory retention (see below references).

During the development phase, the Scrub Wars franchise was very popular at the 2014 and 2015 AMSA Annual meetings, the 2014 UC Davis Pre-Health Expo, and the 2013 DevLearn/Adobe Learning Summit (among students, professors, physicians, teaching administrators, parents, & gaming experts).

Unlike other Scrub Wars apps, this will not be a review of fixed topics. In fact, all 20 levels are randomized questions just like the real ER! These are the high-yield surgical topics covered in this game:

*emergency medicine
*family medicine
*internal medicine
*preclinical basic science
*surgery
*psychiatry
*neurology
*OBGYN
*pediatrics
* and much more including various specialty topics!
•Benefits of this app to medical students, interns, and residents:
*Quick Feedback- Green is right, Red is right, and move on! No long vignettes or explanations to slow you down (do vignettes or seek explanations on your own time).
*“Creates” study time- Play Scrub Wars anywhere especially where you normally would not study like waiting in line, between classes, while waiting for rounds to start, or even on the toilet!
*Spaced learning- High-yield board facts are reinforced by your Teaching Attending after completing each level (need 70% correct to pass a level).
*Content created by trusted sources- Questions written/edited/tested by physicians, professors, and medical students
*Diverse application- In addition to medical students & residents, other professional graduate students can benefit from the content review including physician assistants, podiatrists, physical therapists, anesthesiology residents, and nurses (LVN and RN).

References:
Augustin M (2014). How to learn effectively in medical school: test yourself, learn actively, and repeat in intervals. Yale Journal of Biology and Medicine 87: 207-212
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031794/pdf/yjbm_87_2_207.pdf
Shannon Stephen (2014). Gamification: harnessing new technologies to optimize the medical school learning experience. President of AACOM 8 (10) 
https://www.aacom.org/news-and-events/publications/inside-ome/october-2014/from-the-president
•GAME STORY
Due to the declining work habits and perceived inferior intellect of modern medical students as noted by medical administrators, the deans of every medical school worked collectively to hire the Peyronie Attending (a famous neurosurgeon) and jointly funded the richest physician contract in the history of medicine. The Peyronie Attending will travel from Seattle to Miami by spending a few weeks at every medical school. Under the guidance of your professional mentor, the Benevolent Attending, you must now withstand the onslaught of an aggressive campaign led by your megalomaniac chief rival. The time to establish dominance on the wards has begun. Scrub Wars must now take place!
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