“Earthquake in the City”; using real life gamification model for teaching professional commitment in high school students

  • Solmaz Sadat Naghavi Alhosseini Reseacher Department of Idea Development and Innovation Center, Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
  • Ata Pourabbasi Assistant Professor Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Professional commitment, Gamification, Adolescents, Education


Professional commitment plays a significant role in all professions. Moreover, schools are valuable fields for teaching the principles of these concepts especially through novel methods such as gamification. "Earthquake in the city" was implemented in a school in Tehran, Iran, and its effectiveness on learning the concepts of professional commitment was evaluated.

"Earthquake in the city" was built based upon a fantasy scenario occurring in an imaginary city. Each student took on a role in the city (citizen or healthcare provider). After finishing the game, participants were asked about the concept of professional commitment. Their definition was scored by a group of medical ethics experts separately in terms of compliance with the actual definitions and compared with their peers in the control group who did not participate in the game.

A group of 16-year-old teenagers studying in the 11th grade participated in this intervention. The average score of conformity with the actual concept of professional commitment among the case group participants was significantly higher than the average value for the control group (P < 0.05).

The results of this study could provide insights to planners and educators engaged in the education system so that gamification can be incorporated as an influential tool to teach the concepts of professional commitment. This experience can also be generalized to other concepts, but designing the appropriate scenario will be the most important component of the intervention in these cases.


Anonymous. Skills to pay the bills: mastering soft skills for workplace success. [cited 2018 September]; available from: https://www.dol.gov/odep/topics/youth/softskills/softskills.pdf

Cruess RL, Cruess SR, Steinert Y. Teaching Medical Professionalism, 2nded. UK: Cambridge University Press; 2009.

Uriz-Peman MJ, Ballestero A, Idareta F. Ethical perspectives in the caring professions. Ljetopis socijalnog rada. 2013; 20(3): 345-362.

Elsayed DEM, Ahmed REM. Medical Ethics: What is it? Why is it important? Sudanese Journal of Public Health. 2009; 4(2): 284-287.

Ogunleye OO, Oreagba IA, Falade C, et al. Medication errors among health professionals in Nigeria: a national survey. Int J Risk Saf Med. 2016; 28(2):77-91.

Teng CI, Dai YT, Shyu YI, Wong MK, Chu TL, Tsai YH. Professional commitment, patient safety, and patient-perceived care quality. J Nurs Scholarsh. 2009; 41(3): 301-309.

Kwah J, Weintraub J, Fallar R, Ripp J. The effect of burnout on medical errors and professionalism in first-year internal medicine residents. J Grad Med Educ. 2016; 8(4): 597-600.

Bishop CE, Weinberg DB, Leutz W, Dossa A, Pfefferle SG, Zincavage RM. Nursing assistants' job commitment: effect of nursing home organizational factors and impact on resident well-being. The Gerontologist. 2008; 48(1: Suppl 1): 36-45.

Pourabbasi A, Bina MT, Sanjari M. The necessity of observing ethical liability in bioethics: instruction of the principles of bioethics should be launched from school. J Med Ethics Hist Med. 2010; 3:7.

Ucus S. Elementary school teachers’ views on game-based learning as a teaching method. Procedia - Social and Behavioral Sciences. 2015; 186: 401- 9.

Azmi Sh, Iahad NA, Ahma N. Gamification in online collaborative learning for programming courses: a literature review. ARPN Journal of Engineering and Applied Sciences. 2015; 10(23): 18087-18094.

Yildirim EY. The Positive Effect of Digital Game Based Programming on Students. USA: Springer; 2017.

Pesare E, Roselli T, Corriero N, Rossano V. Game-based learning and Gamification to promote engagement and motivation in medical learning contexts. Smart Learning Environments. 2016; 3:5.

Schoech D, Boyas JF, Black BM, Lambert NE. Gamification for behavior change: lessons from developing a social, ultiuser, zeb-tablet based prevention game for youths. Journal of Technology in Human Services. 2013; 31(3): 197-217.

Gonzalez CS, Gómez N, Navarro V, et al. Learning healthy lifestyles through active videogames, motor games and the gamification of educational activities. Computers in Human Behavior. 2016; 55(Part A): 529-551.

Altirkawi Kh. Teaching professionalism in medicine: what, why and how? Sudan J Paediatr. 2014; 14(1): 31–38.

Lister MC. Gamification: the effect on student motivation and performance at the post-secondary level. Issues and Trends in Educational Technology. 2015; 3(2): 1-22.

Surendeleg G, Murwa V, Yun HK, Kim YS.The role of gamification in education – a literature review. Contemporary Engineering Sciences. 2014; 7(29):1609- 16.

Kapp KM. The Gamification of Learning and Instruction: Game-Based Methods and Strategies for Training and Education. USA: Wiley Publication; 2012.

Markopoulos AP, Fragkou A, Kasidiaris PD, Davim JP. Gamification in engineering education and professional training. International Journal of Mechanical Engineering. 2015; 43(2): 118–131.

Burguillo JC. Using game-theory and competition-based learning to stimulate student motivation and performance. Computer & Education. 2010; 55(2): 566-75.

How to Cite
Naghavi Alhosseini SS, Pourabbasi A. “Earthquake in the City”; using real life gamification model for teaching professional commitment in high school students. J Med Ethics Hist Med. 11.
Original Article(s)