Peer-assisted learning: a novel approach to clinical skills learning for medical students

Field, M., Burke, J.M., McAllister, D. and Lloyd, D.M. (2007) Peer-assisted learning: a novel approach to clinical skills learning for medical students. Medical Education, 41(4), pp. 411-418. (doi: 10.1111/j.1365-2929.2007.02713.x)

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Abstract

<p>Objective  This study aimed to determine whether peer-assisted learning (PAL) can enhance clinical examination skills training.</p> <p>Methods  Three student trainers studied small-group theory and clinical examination and provided PAL as extra tuition for 86 trainees. Trainees watched an examination video, were videotaped practising the examination and, after constructive feedback, repeated the examination. Responses to PAL were evaluated to attain an overview of trainee and trainer performance using visual analogue and Likert scale analyses. Year-group review was undertaken using questionnaires.</p> <p>Results  Trainees evaluated all aspects of PAL highly, including their post-training confidence in examination skills (mean > 7.7 on a 10-cm scale), indicating that the PAL was effective. Written comments confirmed the students perceived the sessions as well structured and of high quality. Compared with trainees in the first groups, those from later groups gave all parameters similar or higher gradings. Those for interest (P = 0.03) and appropriateness (P = 0.01) were significantly higher, suggesting that trainers may improve their technique with time. Students with previous degrees gave similar or lower gradings than standard entry students, with answers about post-training confidence and recommendation to friends being statistically lower (P < 0.006). Six months later, year-group analysis showed that 90% of trainees rated PAL highly, and 86% wished to become trainers. Of the trainers' year group, 79% perceived that PAL training could improve examination skills.</p> <p>Conclusions  In the context of clinical skills training, PAL was highly evaluated across many parameters, including confidence after training. Student interest and enthusiasm supports suggestions that PAL could be a useful adjunct to clinical skills training.</p>

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Burke, Dr Joanne and Field, Dr Max
Authors: Field, M., Burke, J.M., McAllister, D., and Lloyd, D.M.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Clinical Specialities
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Medical Education
ISSN:0308-0110

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