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In particular, the students positively emphasize the use of Kahoot! as an activating digital medium. Discussion Through the use of the ICM and the gamified audience response system Kahoot!, students could be activated in meaningful ways. The resulting discussions about the patient case and teaching content of the quiz questions in the synchronous online course could be implemented just as well as in the classroom-based course of previous semesters. Conclusion The application of the online ICM, along with the consideration of the ICAP Mod

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