The majority of studies describing educational health care games show students enjoy playing them.7-10 Unfortunately most of these studies do not evaluate student learning or the efficacy of the games. A Cochrane Review evaluated all published articles on health care-based educational games in which the participants were health care professionals or in postgraduate training identified 1156 papers, but only 1 was a randomized control trial.11 The review committee concluded the systemic review did not confirm the use of games as a teaching strategy for health professionals and cited a need for additional high-quality research to explore the impact of educational games on patient and performance outcomes.