**4. Videos in gamified learning**

The concerns of educational content, pedagogy, and design have received considerable attention from scholars in medical education and medical educators. Gamification and serious gaming in education can offer a good, affordable, innovative method that is adaptable, portable, and fun and allows interaction with teachers and classmates. In healthcare education, serious games are all about leveraging the power of computer games to captivate and engage end-users for a specific purpose, such as to develop new knowledge and skills. Without involving patients, serious gaming and gamification can give learners chances for active learning, problem solving in the therapeutic setting, and experience [33]. It is becoming increasingly evident that digital game-based learning (DGBL) is a powerful tool for fostering emotionally engaged learning experiences. Furthermore, serious games with multiplayer functions offer opportunities for group learning, strengthening learners' analytical skills, strategic thinking, knowledge, multitasking, decision-making, communication, and psychomotor abilities [34].

Video games offer a creative way of delivering education especially among Gen Z students who are natives to the digital world [35]. For those students who are visual learners, combining audio-video with animations is a dynamic way of engaging them and makes learning more stimulating. Using interactive elements such as annotations, quizzes, clickable buttons, and tactile input allows active participation and is very appealing to the students. Videos can deliver short and concise content in a bite-size format and aligns well with the students' short attention span [36]. To maximize the benefits of DGBL, videos can be made available on mobile platforms, giving students access to procedural learning resources whenever and wherever they need it. With this flexibility, students can watch videos multiple times, encouraging self-paced learning and ongoing reinforcement.

Integrating digital educational games into the current environment of health care education can be done by developing custom games in collaboration with game developers or instruction designer to suit the learning objectives of the curriculum. Educators can gamify lectures, case studies and lectures by using free online resources like Kahoot or Jeopardy. Such approach enhances learning experience and better prepares future healthcare professionals.

#### *The Roles of Video in Online Learning DOI: http://dx.doi.org/10.5772/intechopen.114245*

In addition to health education, other serious games are designed to improve patient's health and attitudes. Serious games such as Re-Mission is used for improving patients' attitudes while educating them about cancer treatments. Randomized controlled trials with cancer patients supported the game's efficacy, according to studies. Other serious games, including Nano swarm: Invasion from Inner Space (Archimage) and Escape from Diab, are convincing and have the power to alter kids' attitudes toward their health. Further health-related serious games are employed as preventative measures (such as Play Forward: Elm City Story) or therapeutic measures (such as Snow World). Additionally, a selection of minigames in Dr. Kawashima's Brain Training (Nintendo Co.) are intended to enhance cognitive abilities in senior people [37, 38].

Finally, it's crucial to maintain a balance between the serious and game components of serious games. To ensure learners engage with the serious section of the game, high-quality serious games must seamlessly incorporate defining objectives into the gameplay. Plus, the interface technology should be tailored to suit the intended audience and align with the game's overarching objectives.

To achieve a balance between the serious and the game components in healthcare and patient education, in addition to incorporating rewards and challenges, it is essential to utilize visually appealing interactive technologies to create immersive experiences and make experiences more meaningful by tailoring healthcare and patient education to individual needs. Feedback and progress tracking are crucial to keep learners motivated and engaged. Lastly, but not the least, the key for successful gamification in healthcare education is to collaborate with healthcare experts to ensure credibility and accuracy.
