National Survey of Emergency Medicine Residency Program Simulation Resources

and using checklists have been tested to boost observer engagement, yet outcomes are mixed, especially in balancing technical skills with clinical decision-making.To address this, we introduce a novel Bingo card tool that uses game theory to increase observer engagement.By tracking clinical decisions during simulations and adding a competitive element, the Bingo card aims to keep observers attentive and engaged.This approach, not yet explored in literature, seeks to enhance satisfaction, knowledge retention, and teamwork in simulation learning.Objectives: This tool aims to make observation more engaging by assigning observers an active, challenging task.Primary outcomes include self-reported engagement, learning, and satisfaction during observation.Curricular Design: Over one month, two simulation directors and a fellow piloted the Bingo card for mandatory simulations.This 5x5 grid prompts observers to track specific participant actions.Sessions at Orlando Health's Graduate Medical Education Simulation Center included three scenarios with residents from PGY-1 to PGY-3.Each scenario had two active participants, while the remaining four observed in roles of nurse, note taker, or Bingo player.Each resident took on the Bingo role once.Standard debriefs and post-simulation Likert-scale surveys assessed observer experiences.Impact: This Bingo tool was piloted across three sessions with sixteen residents completing surveys on focus, enjoyment, engagement, and distraction.Most residents reported that the tool improved focus, enjoyment, and engagement, with minimal distraction and a preference for its use.Figures and tables are attached.