This paper describes the appointment scheduling game (ASG), an easy to use teaching tool that reveals the challenges in managing advance patient scheduling systems, and also provides an introduction to simulation and decision analysis. In addition to describing the game, the paper provides recommendations on how to play it, student questions and suggested answers, and a Markov decision process (MDP) formulation. The ASG simulates a system in which daily patient appointment requests, which are characterized by their urgency level, arrive randomly. Daily service capacity is limited. Students playing the game assume the role of a scheduling clerk who must assign appointment dates to these requests without knowing future demand. They are left to discover the need for performance metrics, data collection, and strategy formulation. An attractive feature of the game is that it requires only a printed one-month calendar, multicolored poker chips, and a standard six-sided die. Although the game is primarily aimed ...
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