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Developing game-like simulations to formalize tacit procedural knowledge: the ONT experience

  • Blanca Borro-EscribanoEmail author
  • Ángel Del Blanco
  • Javier Torrente
  • Itziar Martínez Alpuente
  • Baltasar Fernández-Manjón
Development Article

Abstract

The exceptional success achieved by the Spanish National Transplant Organization (ONT) in recent years has made other countries highly interested in following this organization’s methodologies. A good training program is one of the key elements of the ONT. Until 2012, the ONT training program was a paper-based case teaching method, and the small number of ONT experts limited the audience. In an attempt to improve and increase the attendees in this program, a game-like simulation was developed to represent transplant management procedural knowledge. To maximize the educational value, this game-like simulation was based on representative teaching cases to help students practice with different real situations and different levels of complexity in a risk-free environment. This study presents how an iterative game development methodology has been applied to evolve from a paper-based case teaching method to a game-like simulation, with a special focus on the efforts made to include the ONT experts’ tacit procedural knowledge in the simulation. Apart from increasing the number of students who can access the ONT training, this game-like simulation also helped to achieve a more detailed formalization of transplant management as well as a more comprehensive systematization of a set of relevant teaching cases.

Keywords

Screen-based simulation Educational games Tacit knowledge Medical procedures Case-based teaching 

Abbreviations

ONT

Spanish National Transplant Organization

Notes

Acknowledgments

We acknowledge the next organizations that have partially supported this work: the Spanish Ministry of Science and Innovation (Grant no. TIN2010-21735-C02-02); the European Commission, through the Lifelong Learning Programme (Projects “SEGAN Network of Excellence in Serious Games”—519332-LLP-1-2011-1-PT-KA3-KA3NW and “CHERMUG”—519023-LLP-1-2011-1-UK-KA3-KA3MP) and the 7th Framework Programme (Project “GALA—Network of Excellence in Serious Games”—FP7-ICT-2009-5-258169) and the Regional Government of Madrid (eMadrid Network—S2009/TIC-1650).

References

  1. Akl, E. A., Kairouz, V. F., Sackett, K. M., Erdley, W. S., Mustafa, R. A., Fiander, M., et al. (2013). Educational games for health professionals. The Cochrane Database of Systematic Reviews, 3(3), CD006411. doi: 10.1002/14651858.CD006411.pub4.Google Scholar
  2. Akl, E. A., Mustafa, R., Slomka, T., Alawneh, A., Vedavalli, A., & Schünemann, H. J. (2008). An educational game for teaching clinical practice guidelines to Internal Medicine residents: Development, feasibility and acceptability. BMC Medical Education, 8, 50. doi: 10.1186/1472-6920-8-50.CrossRefGoogle Scholar
  3. Aldrich, C. (2004). Simulations and the future of learning: An innovative (and perhaps revolutionary) approach to e-learning. San Francisco, CA: Pfeiffer.Google Scholar
  4. Aldrich, C. (2006). Learning by doing: A comprehensive guide to simulations, computer games and pedagogy in e-learning and other educational experiences. Educause Quarterly, 3, 69–72.Google Scholar
  5. Amory, A. (2006). Game object model version II: A theoretical framework for educational game development. Educational Technology Research and Development, 55(1), 51–77. doi: 10.1007/s11423-006-9001-x.CrossRefGoogle Scholar
  6. Arnab, S., Dunwell, I., & Debattista, K. (2012). Serious games for healthcare: Applications and implications. Hershey, PA: IGI Global.Google Scholar
  7. Barell, J. (2010). Problem-based learning: The foundation for 21st century skills. In J. Bellanca & R. Brandt (Eds.), 21st century skills: Rethinking how students learn (1st ed., pp. 214–218). Bloomington, IN: Solution Tree.Google Scholar
  8. Blanco, A., Torrente, J., & Fernández-Manjón, B. (2010). Integrating educational video games in LAMS: The < e-Adventure > Experience. In 5th International LAMS and Learning Design Conference “Sharing Great Ideas” (pp. 83–91). Sydney, Australia.Google Scholar
  9. Blandford, A., & Rugg, G. (2002). A case study on integrating contextual information with analytical usability evaluation. International Journal of Human-Computer Studies, 57(1), 75–99.CrossRefGoogle Scholar
  10. Brox, E., Fernandez-Luque, L., & Tøllefsen, T. (2011). Healthy gaming—Video game design to promote health. Applied Clinical Informatics, 2(2), 128–142. doi: 10.4338/ACI-2010-10-R-0060.CrossRefGoogle Scholar
  11. Chan, W. P., Hsu, C. Y., & Hong, C. Y. (2008). Innovative “case-based integrated teaching” in an undergraduate medical curriculum: Development and teachers’ and students’ responses. Annals of the Academy of Medicine, Singapore, 37(11), 952–956.Google Scholar
  12. Chen, J. (2007). Flow in games (and everything else). Communications of the ACM, 50(4), 31–34. doi: 10.1145/1232743.1232769.CrossRefGoogle Scholar
  13. Dede, C. (2009). Immersive interfaces for engagement and learning. Science, 323, 66–68. doi: 10.1126/science.1167311.CrossRefGoogle Scholar
  14. Dolmans, D., & Gijbels, D. (2013). Research on problem-based learning: Future challenges. Medical Education, 47(2), 214–218. doi: 10.1111/medu.12105.CrossRefGoogle Scholar
  15. Domínguez-Gil, B., Delmonico, F. L., Shaheen, F. A., Matesanz, R., O’Connor, K., Minina, M., et al. (2011). The critical pathway for deceased donation: Reportable uniformity in the approach to deceased donation. Transplant International, 24(4), 373–378. doi: 10.1111/j.1432-2277.2011.01243.x.CrossRefGoogle Scholar
  16. FAS. (2006). Summit on Educational Games: Harnessing the power of video games for learning (p. 53). Washington, DC: Federation of American Scientists.Google Scholar
  17. Friedrich, W. R., & Van Der Poll, J. A. (2007). Towards a methodology to elicit tacit domain knowledge from users. Interdisciplinary Journal of Information, Knowledge, and Management, 2, 179–193.Google Scholar
  18. Gordon, J. A., Oriol, N. E., & Cooper, J. B. (2004). Bringing good teaching cases “to life”: A simulator-based medical education service. Academic Medicine, 79(1), 23–27.CrossRefGoogle Scholar
  19. Heiberg Engel, P. J. (2008). Tacit knowledge and visual expertise in medical diagnostic reasoning: Implications for medical education. Medical Teacher, 30(7), e184–e188.CrossRefGoogle Scholar
  20. Hwang, G.-J., & Wu, P.-H. (2012). Advancements and trends in digital game-based learning research: A review of publications in selected journals from 2001 to 2010. British Journal of Educational Technology, 43(1), E6–E10. doi: 10.1111/j.1467-8535.2011.01242.x.CrossRefGoogle Scholar
  21. Irby, D. (1994). Three exemplary models of case-based teaching. Academic Medicine, 69, 947–953.CrossRefGoogle Scholar
  22. Johnson, L., Adams Becker, S., Cummins, M., Estrada, V., Freeman, A., & Ludgate, H. (2013). NMC Horizon Report: 2013 Higher Education Edition (p. 44). Austin, Texas, USA.Google Scholar
  23. Kebritchi, M., Hirumi, A., & Bai, H. (2010). The effects of modern mathematics computer games on mathematics achievement and class motivation. Computers and Education, 55(2), 427–443. doi: 10.1016/j.compedu.2010.02.007.CrossRefGoogle Scholar
  24. Khan, S. (2007). The case in case-based design of educational software: A methodological interrogation. Educational Technology Research and Development, 56(4), 423–447. doi: 10.1007/s11423-006-9028-z.CrossRefGoogle Scholar
  25. Kim, S., Phillips, W. R., Pinsky, L., Brock, D., Phillips, K., & Keary, J. (2006). A conceptual framework for developing teaching cases: A review and synthesis of the literature across disciplines. Medical Education, 40(9), 867–876. doi: 10.1111/j.1365-2929.2006.02544.x.CrossRefGoogle Scholar
  26. Kothari, A., Rudman, D., Dobbins, M., Rouse, M., Sibbald, S., & Edwards, N. (2012). The use of tacit and explicit knowledge in public health: A qualitative study. Implementation Science, 7(1), 20. doi: 10.1186/1748-5908-7-20.CrossRefGoogle Scholar
  27. Matesanz, R., Domínguez-Gil, B., Coll, E., De Rosa, G., & Marazuela, R. (2011). Spanish experience as a leading country: What kind of measures were taken? Transplant International, 24, 333–343. doi: 10.1111/j.1432-2277.2010.01204.x.CrossRefGoogle Scholar
  28. Matesanz, R., Marazuela, R., Domínguez-Gil, B., Coll, E., Mahillo, B., & De Rosa, G. (2009). The 40 donors per million population plan: An action plan for improvement of organ donation and transplantation in Spain. Transplantation Proceedings, 41(8), 3453–3456. doi: 10.1016/j.transproceed.2009.09.011.CrossRefGoogle Scholar
  29. Matesanz-Acedos, R. (2009). El modelo español de Coordinación y Trasplantes. Madrid: Aula Médic.Google Scholar
  30. Moreno-ger, P., Blesius, C., Currier, P., Sierra, J. L., & Fernández-manjón, B. (2008a). Online learning and clinical procedures: Rapid development and effective deployment of game-like interactive simulations. Transactions on Edutainment I, LNCS, 5080, 288–304.CrossRefGoogle Scholar
  31. Moreno-ger, P., Martínez-Ortiz, I., Sierra, J. L., & Fernández-manjón, B. (2008b). A content-centric development process model. IEEE Computer Society, 41, 24–30.CrossRefGoogle Scholar
  32. Moreno-Ger, P., Torrente, J., Bustamante, J., Fernández-Galaz, C., Fernández-Manjón, B., & Comas-Rengifo, M. D. (2010). Application of a low-cost web-based simulation to improve students’ practical skills in medical education. International Journal of Medical Informatics, 79(6), 459–467.CrossRefGoogle Scholar
  33. Roberts, D., & Greene, L. (2011). The theatre of high-fidelity simulation education. Nurse Education Today, 31(7), 694–698. doi: 10.1016/j.nedt.2010.06.003.CrossRefGoogle Scholar
  34. Roberts, J. D., While, A. E., & Fitzpatrick, J. M. (1992). The utilization and evaluation of a simulation game in pre-registration nurse education. Nurse Education Today, 12(6), 409–415.CrossRefGoogle Scholar
  35. Rosser, J. C., Lynch, P. J., Cuddihy, L., Gentile, D. a, Klonsky, J., & Merrell, R. (2007). The impact of video games on training surgeons in the 21st century. Archives of Surgery, 142, 181–186. doi: 10.1001/archsurg.142.2.181.CrossRefGoogle Scholar
  36. Scandroglio, B., Domínguez-Gil, B., López, J. S., Valentın, M., Martín, M. J., Coll, E., et al. (2011). Analysis of the attitudes and motivations of the Spanish population towards organ donation after death. Transplant International, 24, 158–166. doi: 10.1111/j.1432-2277.2010.01174.x.CrossRefGoogle Scholar
  37. Srinivasan, M., Wilkes, M., Stevenson, F., Nguyen, T., & Slavin, S. (2007). Comparing problem-based learning with case-based learning: Effects of a major curricular shift at two institutions. Academic Medicine, 82, 74–82. doi: 10.1097/01.ACM.0000249963.93776.aa.CrossRefGoogle Scholar
  38. Strobel, J., & van Barneveld, A. (2009). When is PBL more effective? A meta-synthesis of meta-analyses comparing PBL to conventional classrooms. Interdisciplinary Journal of Problem-Based Learning, 3(1), 44–58.CrossRefGoogle Scholar
  39. Torrente, J., Del Blanco, Á., Marchiori, E. J., Moreno-Ger, P., & Fernández-Manjón, B. (2010). Introducing educational games in the learning process. In IEEE education engineering EDUCON 2010 conference (Vol. 127, pp. 1121–1126). IEEE. doi: 10.1109/EDUCON.2010.5493056.
  40. Torrente, J., Moreno-Ger, P., Fernández-Manjón, B., & Del Blanco, Á. (2009). Game-like simulations for online adaptive learning: A case study. In M. Chang, R. Kuo, Kinshuk, G.-D. Chen, & M. Hirose (Eds.), Learning by playing gamebased education system design and development (Vol. 5670) (pp. 162–173). Heidelberg: Springer. doi: 10.1007/978-3-642-03364-3_21.CrossRefGoogle Scholar

Copyright information

© Association for Educational Communications and Technology 2013

Authors and Affiliations

  • Blanca Borro-Escribano
    • 1
    Email author
  • Ángel Del Blanco
    • 1
  • Javier Torrente
    • 1
  • Itziar Martínez Alpuente
    • 2
  • Baltasar Fernández-Manjón
    • 1
  1. 1.Department of Software Engineering and Artificial Intelligence, Facultad de InformáticaComplutense University of MadridMadridSpain
  2. 2.Spanish National Transplant OrganizationMadridSpain

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