Presented By: Kate Carnevale, Nova Southeastern University

Purpose
The first two years of medical education are packed with rigorous foundational knowledge that future physicians will need to be successful during their clinical training and beyond. Group projects and gamification of learning can work to reduce stress of the workload, build teamwork skills, and integrate learning in an enjoyable manner. Modeling the online gameshow "Umm, Actually", second year medical students worked in teams to create challenging questions with rationale, based on course learning objectives, for a competitive gameshow style capstone project ahead of the last cumulative final exam of their pre-clerkship training.

Methods
Four cohorts of second year medical students (N = 201) were divided into teams and tasked with developing a set of multiple-choice questions based on learning objectives that spanned their systems block course. Students completed team contracts and evaluations to keep all team members accountable. Following question submission, student groups participated in a gameshow style competitive event, answering student and course director generated questions. Students were assessed based on successful submission of the questions, a threshold number of correct questions individually and as a team, and peer evaluations of teamwork and professionalism. The top three teams and top scoring student were honored. Course evaluations and focus group feedback were used rate student opinions of the capstone project.

Results
Second year medical students at the end of their pre-clerkship training successfully completed the gameshow style capstone project, meeting all outlined expectations. Peer evaluations rated each student's interpersonal skills and professionalism highly. Course evaluations and student focus groups rated the project as enjoyable, team building, and helpful for their learning.

Conclusion
The gameshow style capstone project for second year medical students was an interactive, teamwork-driven, and celebratory method of assisting students in reviewing for their cumulative final exam, while reducing stress associated with rigorous pre-clerkship training.