2025/10/27 by Philip Patston, Philip A. Patston, Anthony Huang +2
Decision Sciences · Social Sciences · #Decision-Making and Behavioral Economics #Experimental Behavioral Economics Studies #Nonprofit Sector and Volunteering
paper · pdf · doi:10.1002/jdd.70096
crossref issued 2025/10/27 · crossref published 2025/10/27 · crossref published-online 2025/10/27 · openalex publication_date 2025/10/27 · openalex created_date 2025/10/28 · crossref created 2025/10/28 · crossref published-print 2026/06/01 · openalex updated_date 2026/07/27 · crossref deposited 2026/07/31 · crossref indexed 2026/07/31
First-year dental students at UIC College of Dentistry face a demanding academic load in their biomedical science courses. They must manage large volumes of complex material, adjust to independent learning, and prepare for high-stakes exams early in their dental education. Although attendance for certain sessions is mandatory, maintaining consistent student engagement has been challenging. Some students opt to review content independently, perceiving live sessions as less beneficial than self-paced study. This aligns with research suggesting that students' motivation and learning strategies are often influenced by their perceived value of instructional activities [1]. To address both the academic and motivational challenges, announced bonus quizzes were introduced as a strategic intervention. These quizzes served not only as a content reinforcement tool but also as a tangible incentive for students to attend class, actively participate, and stay engaged with the curriculum [2]. To support learning and boost in-person engagement, announced bonus quizzes were implemented during the Q&A session preceding each biomedical module exam. Each quiz included five multiple-choice questions designed in the INDBE format, using patient box clinical scenarios to mirror board-style exams (Figure 1). While attendance at these Q&A sessions was expected, the addition of a bonus quiz created a meaningful reason for students to show up and participate. The opportunity to earn bonus points provided a low-pressure, high-reward environment that encouraged preparation and focus—an approach supported by studies showing the benefits of low-stakes, test-enhanced learning [3]. Because the quizzes were announced in advance, students could study intentionally and walk into the session feeling more confident. Reviewing the quizzes together further reinforced critical content and provided immediate feedback, strengthening the connection between classroom learning and clinical application [4]. To deepen the incentive, one of the quiz questions was later included on the actual module exam as a bonus question. Although attendance was required, many students in the Class of 2027 (prior to quiz implementation) still opted not to attend, with attendance falling below 50% across both semesters. This highlights the limitations of policy-based attendance without meaningful incentives or consequences. In contrast, after implementing bonus quizzes for the Class of 2028, attendance rose substantially from 90.0% in Fall Module 1% to 100% by the end of spring (Figure 2). These gains suggest that the opportunity to earn bonus points served as a strong motivator for students to attend and engage in sessions that were previously underutilized. Based on instructor observations, the announced nature of the quizzes appeared to encourage students to study more intentionally and arrive better prepared. The low-stakes format reinforced key concepts, reduced anxiety, and gave students greater control over their performance. Faculty observations supported these outcomes, noting improved attentiveness, discussion, and quality of questions. Although formal exam score comparisons were not conducted, the shift in attendance, paired with positive feedback, strongly supports the effectiveness of announced bonus quizzes. Over time, the structured rhythm of these assessments fostered consistent study habits and a deeper connection with the curriculum.