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The quality of training for medical students is one of the guarantees of the proper functioning of our health system. This training must be of good quality and constantly updated in a dynamic educational process that is constantly evolving.gamification is a method of pedagogical innovation in teaching that stimulates the pleasure of learning. In fact, braving students' boredom is a daily struggle for the teacher and encouraging the learner's motivation helps to increase his performance. The objective of this work is to evaluate the intrinsic and extrinsic motivation as well as the academic self-efficacy of third year medical students by gamifying the tutorial sessions intended for the methodical interpretation of rhythm disorders on surface electrocardiogram.