Can Bloom’s Higher Order Thinking skills be achieved by Gamified Learning through Social Networking Sites (SNS) like Facebook?

Amuthageetha Nagarajan, Arkendu Sen 

pp. 144 - 160, download 






Medical students commonly may resort to rote learning of complex medical topics such as neuroanatomy, primarily if they disengage and work in silos. Providing students with engaging and interactive content, especially of Higher Order Thinking Skills (HOTS) of Blooms, to understand such complex topics and simultaneously providing an opportunity for collaborative learning can be beneficial. This can allow authentic learning towards competency to handle complex medical issues. To address this, the present study developed a novel social network site using three key aspects: An integrated curriculum delivery approach with the integration of games to stimulate creativity (Gamified content), real-life medical scenarios (authentic Case-based learning), and the provision of a social networking platform (Facebook) to voice ‘students’ thoughts through simple, group brainstorming in an informal learning space (social media). Innovatively ‘Bloom’s taxonomy is used to create gamified quizzes of increasing difficulty levels and HOTS levels. We identify’ students’ engagement and learning effectiveness of social networking and gamified learning by medical students over traditional learning management systems. The Lecturers’ feedback also evaluates how well the learning outcomes are planned to be achieved through the learning designs of such games. We found that this learning design combining SNS with games at various levels enhanced the learning processes. 


Keywords: Medical education; Gamification; Serious Games; Bloom’s Taxonomy; Case-based Learning; Game design; Social Networking Sites for Learning.





1. Choudhury, T.K. & Sen, A. Periampullary carcinoma with Bilateral Ovarian Cystadenoma in Pregnancy. Indian Journal of Gastroenterology,17(2):65-6.. ISSN:0254-8860. (1998)

2. Katz L., Finch A., McKinnish T., Gilliland K., Tolleson-Rinehart S., Marks B.: Teaching procedural skills to medical students: A pilot procedural skills lab Education for Health, 30, pp. 79 (2017) 

3. Dickman N., Schuster B.: Active education for future doctors, Springer, Cham, (2020) 

4. Birkett, M.: Teaching Neuroscience: Practical activities for an engaged classroom. (2015) 

5. Orgill BD, Nolin J. Learning Taxonomies in Medical Simulation. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. PMID: 32644535 (2022)  

6. Settles B.: Active learning, Morgan & Claypool, San Rafael, Calif. (1537 Fourth Street, San Rafael, CA 94901 USA), (2012) 

7. Dagar, V., Yadav, A. Constructivism: A Paradigm for Teaching and Learning. Arts and Social Sciences Journal. 7. 10.4172/2151-6200.1000200. (2016).

8. Wan, K. L., Sen, A., Selvaratnam, L., Naing, M. I. M., Khoo, J. J., & Rajadurai, P. Visual-spatial dimension integration in digital pathology education enhances anatomical pathology learning. BMC medical education, 22(1), 1-12. (2022)

9. Hidayat D.: The Implementation of Gamification System in Asian Higher Education Teaching Journal of Games, Game Art, and Gamification, 2, (2021) 

10. Thiel S., Ertio T., Baldauf M.: Why so serious? The Role of Gamification on Motivation and Engagement in e-Participation Interaction Design and Architecture(s), pp. 158-181 (2017)

11. Sen A., Passey D.: Globalisation of Next Generation Technology Enhanced Learning Environment (TELE) for STEM Learning: Contexualizations in the Asia-Pacific Region.In Proceedings of the Fifth International Conference on Technology for Education (t4e 2013), p.111-118, IEEE (2013)

12. Vaz de Carvalho C.: Current and Future Trends in Game-Based Learning EAI Endorsed Transactions on Game-Based Learning, 1, pp. e1 (2014)

13. Buchem I., Tur G., Hoelterhof T.: The role of learner control and psychological ownership for self-regulated learning in technology-enhanced learning designs Interaction Design and Architecture(s), pp. 112-132 (2020)

14. van Gaalen AEJ, Brouwer J, Schönrock-Adema J, Bouwkamp-Timmer T, Jaarsma ADC, Georgiadis JR. Gamification of health professions education: a systematic review. Adv Health Sci Educ Theory Pract. doi: 10.1007/s10459-020-10000-3. Epub 2020 Oct 31. PMID: 33128662; PMCID: PMC8041684. (2021)

15. Lorenzo-Alvarez, R., Rudolphi-Solero, T., Ruiz-Gomez, M.J. and Sendra-Portero, F. Game-Based Learning in Virtual Worlds: A Multiuser Online Game for Medical Undergraduate Radiology Education within Second Life. Anat Sci Educ, 13: 602-617. (2020)

16. Pennington D.: Social media for academics, Chandos Publishing, Oxford, (2012)

17. Using a Facebook group to facilitate faculty-student interactions during preclinical medical education: a retrospective survey analysis, (2020) 

18. Means, J.: The impact of Facebook on the curriculum. Technology and the Curriculum Summer 2019. Retrieved Oct 10, 2022, from   (2019) 

19. Sen A., Leong C.: Technology-Enhanced Learning Encyclopedia of Education and Information pp. 1-8 (2019)

20. Sen A., Liew S.H.: Augmented Reality and Its Use in Education, in Encyclopedia of Education and Information Technologies, Pages 1719-1726, Springer, Cham, (2020)

21. Chia Y., Sen A., Tha K., Lee C.: An Effective E-Learning Module For Gastrointestinal Disease Pharmacology.In : Proceedings of the INTED 2017 proceedings, p. 1572-1580. International Assoc Tech, Education & Dev, (2017)

22. Van Amstel F., Gonzatto R.: Existential time and historicity in interaction design Human–Computer Interaction, 37, pp. 29-68 (2021)

23. Frison A., Lachner F., Riener A., Pettersson I.: Future Directions of UX Studies: Learning from Best Practices Interaction Design and Architecture(s), pp. 5-11 (2018)

4. Bozalek V.: Activity Theory, Taylor and Francis, (2014)

25. Spitler V., Lucas H.: Information technology use in the electronic age: An examination of knowledge work from the theoretical perspective of legitimate peripheral participation, (2001)





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