■居民经常对独立实践毫无准备，理由是不熟悉账单是一个常见的原因。游戏化已被广泛研究，作为吸引学习者的一种手段，而不是提高居民对门诊计费指南的了解的一种方式。
■我们向即将到来的PGY1居民提供了一个会话，目的是提高计费熟练程度。会议包括前测和后测问卷，预先录制的PowerPoint讲座，和计费Bonanza，带有说明和规则的游戏，使用游戏化来加强计费概念。
■居民证明正确回答问题的百分比从前测的42％提高到后测的67％，这导致了0.24个问题的统计显着增加正确。
■本次会议提高了基线计费知识。
Residents often feel unprepared for independent practice, citing an unfamiliarity with billing as a common cause. Gamification has been well studied as a means to engage learners but not as a way to improve resident knowledge of outpatient billing
guidelines.
We delivered a session to incoming PGY 1 residents with a goal of improving billing proficiency. The session included a pretest and posttest questionnaire, a prerecorded PowerPoint lecture, and Billing Bonanza, a game with instructions and rules that used gamification to reinforce billing concepts.
Residents demonstrated improvement in percentage of correctly answered questions from 42% on the pretest to 67% on the posttest, which resulted in a statistically significant increase of 0.24 questions correct.
This session led to improvement in baseline billing knowledge.
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