Peer-to-peer clinical teaching by medical students in the formal curriculum

Author:

Chen Julie Yun1,Lam Tai Pong2,Hung Ivan Fan Ngai3,Chan Albert Chi Yan4,Chin Weng-Yee2,See Christopher5,Tsang Joyce Pui Yan2

Affiliation:

1. Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong; Bau Institute of Medical and Health Sciences Education, University of Hong Kong, Hong Kong

2. Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong

3. Department of Medicine, University of Hong Kong, Hong Kong

4. Department of Surgery, University of Hong Kong, Hong Kong

5. School of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong

Abstract

Introduction: Medical students have long provided informal, structured academic support for their peers in parallel with the institution’s formal curriculum, demonstrating a high degree of motivation and engagement for peer teaching. This qualitative descriptive study aimed to examine the perspectives of participants in a pilot peer teaching programme on the effectiveness and feasibility of adapting existing student-initiated peer bedside teaching into formal bedside teaching. Methods: Study participants were senior medical students who were already providing self-initiated peer-led bedside clinical teaching, clinicians who co-taught bedside clinical skills teaching sessions with the peer teachers and junior students allocated to the bedside teaching sessions led by peer teachers. Qualitative data were gathered via evaluation form, peer teacher and clinician interviews, as well as the observational field notes made by the research assistant who attended the teaching sessions as an independent observer. Additionally, a single Likert-scale question on the evaluation form was used to rate teaching effectiveness. Results: All three peer teachers, three clinicians and 12 students completed the interviews and/or questionnaires. The main themes identified were teaching effectiveness, teaching competency and feasibility. Teaching effectiveness related to the creation of a positive learning environment and a tailored approach. Teaching competency reflected confidence or doubts about peer-teaching, and feasibility subthemes comprised barriers and facilitators. Conclusion: Students perceived peer teaching effectiveness to be comparable to clinicians’ teaching. Clinical peer teaching in the formal curriculum may be most feasible in a hybrid curriculum that includes both peer teaching and clinician-led teaching with structured training and coordinated timetabling. Keywords: Peer Teaching, Undergraduate Medical Education, Bedside Teaching, Medical Students

Funder

University of Hong Kong

Publisher

Yong Loo Lin School of Medicine

Subject

Health Professions (miscellaneous),Education,Reviews and References (medical),Medicine (miscellaneous)

Reference18 articles.

1. Benè, K. L., & Bergus, G. (2014). When learners become teachers: A review of peer teaching in medical student education. Family Medicine, 46(10), 783-787.

2. Burgess, A., McGregor, D., & Mellis, C. (2014). Medical students as peer tutors: A systematic review. BMC Medical Education, 14(1), 115.

3. Burgess, A., Roberts, C., van Diggele, C., & Mellis, C. (2017). Peer teacher training (PTT) program for health professional students: Interprofessional and flipped learning. BMC Medical Education, 17(1), Article 239.

4. Chen, Y., & Hoshower, L. B. (2003). Student evaluation of teaching effectiveness: An assessment of student perception and motivation. Assessment Evaluation in Higher Education, 28(1), 71-88.

5. General Medical Council. (2015). Outcomes for graduates (Tomorrow's Doctors). Retrieved July 18, 2022 from https://www.gmc-uk.org/-/media/documents/Outcomes_for_graduates_jul_15_1216.pdf_61408029.pdf

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