Abstract: The paper describes a game-based learning activity for pediatric residents and students that was transformed from pen and paper to a digital format. The case study explains how the collaborative game was structured as a paper-based activity, and discusses different application options that the instructional design team considered. The game was ultimately implemented in the web-based survey tool Qualtrics, which allowed for the implementation of crucial features (open enrollment, immediate feedback for groups and end-of game group comparison). The game's basic set-up is transferable, so that others may develop their own games across a wide swath of disciplines with variable points of user created content and interactivity.