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                  <mods:namePart>Perez-Baena, Alba Virtudes</mods:namePart>
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                  <mods:namePart>Lorenzo-Alvarez, Rocío</mods:namePart>
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                  <mods:namePart>Ruiz-Gómez, Miguel José</mods:namePart>
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                  <mods:namePart>Sendra-Portero, Francisco</mods:namePart>
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               <mods:identifier type="citation">Perez-Baena, Alba Virtudes, Teodoro Rudolphi-Solero, Rocio Lorenzo-Alvarez, Miguel Jose Ruiz-Gomez, y Francisco Sendra-Portero. «Gamified Learning in a Virtual World for Undergraduate Emergency Radiology Education: Quasi-Experimental Study». JMIR MEDICAL EDUCATION 11 (2025). https://doi.org/10.2196/68518.</mods:identifier>
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               <mods:identifier type="doi">10.2196/68518</mods:identifier>
               <mods:abstract>Objective: This study aimed to assess the feasibility of learning emergency radiology in the virtual world Second Life (Linden Lab) through a gamified experience by evaluating team performance in clinical case resolution, individual performance on seminar assessments, and students’ perceptions of the activity.&#xd;
Methods: Teams of 3-4 final-year medical students, during a 2-week radiology clerkship, had access to 7 clinical cases in virtual clinical stations and were randomly assigned 2 to solve and submit. They later discussed the cases in a synchronous virtual meeting and attended an emergency radiology seminar. &#xd;
Results: The perception questionnaire had a 90.6% response rate. The highest cognitive load was observed in avatar editing (median 7, 95% CI 6.56-6.96). Case-solving cognitive load was significantly lower in 2021-2022 compared with 2020-2021 (median 6, 95% CI 5.69-6.21 vs 5.10-5.66; P&lt;.001). The students rated the experience highly, with average scores exceeding 8.0 out of 10 across various aspects. Notably, the highest-rated aspects were the teaching staff (9.13, SD 1.15), cases (8.60, SD 1.31), project organization (8.42, SD 1.67), and virtual rooms (8.36, SD 1.62). The lowest-rated aspect was internet connectivity (6.68, SD 2.53). Despite the positive scores, all aspects were rated significantly lower in 2021-2022 compared with 2020-2021. These year-to-year comparisons in performance and perception support the reproducibility of the experience.&#xd;
Conclusions: This study demonstrates that a game-based learning experience in the Second Life virtual world, combining virtual clinical scenarios and team-based tasks, is feasible and reproducible within a radiology clerkship. Students showed strong performance in case resolution and rated the experience highly, within a playful context that integrated asynchronous and synchronous activities.</mods:abstract>
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                  <mods:topic>Radiología médica</mods:topic>
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                  <mods:title>Gamified Learning in a Virtual World for Undergraduate Emergency Radiology Education: Quasi-Experimental Study</mods:title>
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