INTRODUCTION Measures for controlling antimicrobial resistance are urgently required. We describe here AntibioGame®, a serious game for improving the training of medical students in antibiotic use in primary care. OBJECTIVE We aimed to design a serious game for antibiotics teaching and to evaluate its usability and playability by medical students. METHODS We used various gamification techniques (e.g. use of mascots, avatars, rewards, leader board) and cartoon graphics in the design of AntibioGame®. This game implements clinical case templates built from a list of learning goals defined by a medical team through an analysis of clinical practice guidelines. The game was evaluated by asking medical students to rate their satisfaction and the usability and playability of the game on an electronic form and through group discussions. The electronic form was derived from the MEEGA + scale, a five-point Likert scale including 32 items for assessing both usability and playability. RESULTS AntibioGame® is a case-based game in which students play the role of a doctor meeting patients in consultation and helping other health professionals to solve their problems, as in real life. The scenarios are realistic and cover situations frequently encountered in primary care. The 57 medical students enrolled found the game attractive, usable, fun, and appropriate for learning. Game quality was considered "good" (score = 60 on the MEEGA + scale). All the students said they would recommend the game, 96 % liked it and 81 % would use it for revision. CONCLUSION AntibioGame® is a promising tool for improving knowledge in antibiotic prescription that could easily be included in multifaceted programs for training medical students.

中文翻译：

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AntibioGame®：这是一款严肃的游戏，旨在教医学生有关抗生素的使用。

引言迫切需要控制抗菌素耐药性的措施。我们在这里描述AntibioGame®，这是一款严肃的游戏，旨在提高医学生对初级保健中抗生素使用的培训。目的我们旨在设计一种严肃的抗生素教学游戏，并评估其对医学生的可用性和可玩性。方法在AntibioGame®的设计中，我们采用了多种游戏化技术（例如，使用吉祥物，化身，奖励，排行榜）和卡通图形。该游戏实现了根据医疗团队通过分析临床实践指南定义的学习目标列表构建的临床案例模板。通过要求医学生通过电子形式和小组讨论来评估他们的满意度以及游戏的可用性和可玩性，从而对游戏进行了评估。电子表格来自MEEGA +量表，这是一个五点李克特量表，其中包括32个用于评估可用性和可玩性的项目。结果AntibioGame®是一款基于案例的游戏，学生可以像在现实生活中一样扮演医生的角色，在会诊中会见患者，并帮助其他卫生专业人员解决他们的问题。这些方案是现实的，涵盖了初级保健中经常遇到的情况。招募的57名医学生发现该游戏有吸引力，可用，有趣并且适合学习。游戏质量被认为是“良好”（MEEGA +评分为60分）。所有学生都表示会推荐这款游戏，其中96％的人喜欢它，而81％的人会使用它进行修改。