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19 December 2025

How healthcare providers can use LMS gamification to prove knowledge retention

Jonny McAlister

Jonny McAlister

Head of Customer Experience

Explore how LMS gamification can build, improve and ultimately prove knowledge retention among healthcare workers.

Knowledge retention in a healthcare setting isn’t a game. With health, wellbeing, legal cases, and sometimes life and death at stake, ensuring healthcare professionals have the skills and knowledge to do their jobs correctly is serious business.

But the learning experiences that build and refresh clinical knowledge can be a game. In fact, using LMS gamification can help healthcare providers to improve and prove knowledge retention among their workforce.

Why proving knowledge retention matters in healthcare

Healthcare worker studying to improve knowledge retention - Synergy Learning

Ensuring healthcare professionals have the right skills and knowledge is essential for protecting patients’ welfare. But being able to prove knowledge retention is equally important for a few different reasons. They include:

  • ✅ Providing evidence of staff knowledge retention for auditing purposes
  • ✅ Offering peace of mind to senior leaders and other stakeholders
  • ✅ Disproving organisation-wide blindspots or failings when things go wrong

With all of that in mind, gamification is a key tool for healthcare providers who want to document knowledge retention among their workforce.

What is LMS gamification?

LMS gamification is the process of using learning technologies to turn learning and development into a game. Gamified learning captures the power of competitive activities, which we all know from sport, board games, video games and many other activities, and deploys that towards learning goals.

The fun of a game, an element of competition, testing our knowledge against others and the incentive of perks or prizes all help to drive engagement.

How LMS gamification works for healthcare

The healthcare sector has a unique set of challenges that gamification can help to solve. These include:

✳️ Large workforce

Healthcare providers typically need to engage a large number of employees in workplace learning. Gamification is a relatively low-cost, organisation-wide way of getting people invested in L&D.

✳️ Specialist knowledge in niche areas

Many healthcare professions require very detailed knowledge of specific topics. Gamification can be used to spur engagement and ongoing development between peers working in the same specialism.

✳️ High-risk environments

Knowledge retention can’t be reduced to a tick-box exercise when patient safety is at stake. The competitive nature of gamification encourages staff to engage closely with topics that have serious, real-world consequences.

✳️ Demanding compliance requirements

Healthcare providers need to meet strict compliance training requirements. Often this involves staff completing regular refresher courses. Gamification helps to keep familiar topics fresh to maintain engagement.
Using its Totara LMS, East Midlands Ambulance Service increased its statutory and mandatory training completion rates from 50-60% to 98%.

✳️ Evolving best practices

Processes, advice and best practices change over time in a healthcare setting. Gamification can keep staff on the ball and ensure they continue to adapt as guidelines are updated.

✳️ Blended learning

The nature of healthcare training means providers need to offer a blended approach of practical skills and theoretical knowledge, in-person learning and online learning. Gamification can be adapted to all of these scenarios.

Healthcare LMS gamification in practice

So, against that backdrop, how can LMS gamification prove knowledge retention to support the requirements of healthcare providers?

Scenario-based games

Healthcare lends itself to scenario-based games since so much of healthcare is based on decision-making when faced with a specific scenario. It is relatively easy to replicate protocol-based decisions, branching diagnostic decisions and emergency response scenarios in the form of a game.

  • ✅ Create a leaderboard
  • ✅ Award points for safety and accuracy
  • ✅ Weight points by clinical risk
  • ✅ Deduct points for unsafe decision

Since healthcare knowledge retention is best proven through application, not memorisation, this form of LMS gamification is incredibly valuable. It exposes healthcare professionals to more opportunities to apply their knowledge. There’s an in-built motivation to make the correct decisions, but no risk to patient safety when they make the wrong decisions.

The results can be used to prove decision accuracy rates, as well as longer-term trends such as error reduction and time taken to reach correct decisions.

Gamified assessments
Learning Management System for Transport & Aviation sector

Testing knowledge repeatedly through gamified LMS assessments helps to prove knowledge retention.

Test the same healthcare concepts before a refresher course, immediately after the course and a longer period after the course.

  • ✅ Create a leaderboard
  • ✅ Offer points for improvement, as well as high scores
  • ✅ Award badges for subject mastery or consistency
  • ✅ Unlock new levels once knowledge retention is proven

Repeated assessment can be used to prove knowledge retention through improved scores over time and long-term trends for individual learners and full cohorts.

Microlearning through micro-games

Use spaced repetition in the form of micro-games to test knowledge retention over time.

Create daily or weekly challenges – short assessments of 2-5 questions – to test your learners. 

  • ✅ Create a leaderboard
  • ✅ Use adaptive tests to adjust topics and difficulty based on previous mistakes
  • ✅ Develop boss levels or head-to-head battles to increase engagement for high-risk topics
  • ✅ Use the microlearning features of platforms like Totara to embed the micro-games in each employee’s daily workflow

Use these micro-games to prove knowledge retention through improved recall and success rates over time.

Meaningful perks
goals icon - synergy learning

Give rewards or prizes to top-performing or most-improved employees to further increase engagement with gamified learning.

This could be something with a monetary value, such as a gift voucher, or something that you know matters to your learners, such as first preference for shift patterns or booking time off.

How to start gamifying your healthcare LMS

Our time-saving, budget-stretching and highly configurable Spark LMS theme is packed with features that make it easy to start gamifying your healthcare LMS.

✳️ Leaderboards

Foster the competitive spirit that drives engagement by prominently displaying your leaderboards for gamified learning.

✳️ Certificates

Automate certification and delivery of digital badges to drive engagement.

University Hospitals Birmingham used its Moodle Workplace LMS to automate certification upon course completion for up to 60,000 staff and volunteers. Learners were rewarded with digital badges without the need for any action from its L&D team.

✳️ Awards wall

Create social proof by displaying the digital badges earned by each learner on their awards wall.

✳️ Reminders

Keep learners focused by sending customised reminders and branded emails.
Spark’s intuitive user journeys, personalised experiences and on-brand look and feel keep engagement levels high. After streamlining its LMS with Spark, aesthetics training provider Harley Academy increased its assessment capacity by 43%.

Bring LMS gamification to your healthcare organisation

Ready to use LMS gamification to prove knowledge retention among your team? Talk to our learning technology experts about the best ways of keeping your learners engaged and invested in your L&D programme.

Get in touch or find out more in our free guide Gamify Your Learning.

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