Kaipuzha, R.R., Pulimoottil, D.T., Moideen, S.P., Mohan, N., Padickal, B., Cheenadath, A.P. and Saji, J.M. 2026. The integration of gamification strategies within competency-based otorhinolaryngology residency training: a comprehensive analysis of pedagogical shifts, technological implementations and professional outcomes in the U. S. medical education system. International Journal of Otorhinolaryngology and Head and Neck Surgery. 12, 4 (Jul. 2026), 625–633. DOI:https://doi.org/10.18203/issn.2454-5929.ijohns20262386.