Peer teaching in medical education: twelve reasons to move from theory to practice

Objective: To provide an estimation of how often peer teaching is applied in medical education, based on reports in the literature and to summarize reasons that support the use of this form of teaching. Method: We surveyed the 2006 medical education literature and categorised reports of peer teaching according to educational distance between students teaching and students taught, group size, and level of formality of the teaching. Subsequently, we analysed the rationales for applying peer teaching. Results: Most reports were published abstracts in either Medical Education's annual feature ‘Really Good Stuff’ or the AMEE's annual conference proceedings. We identified twelve distinct reasons to apply peer teaching, including ‘alleviating faculty teaching burden’, ‘providing role models for junior students’, ‘enhancing intrinsic motivation’ and ‘preparing physicians for their future role as educators’. Discussion: Peer teaching appears to be practiced often, but many peer teaching reports do not become full length journal articles. We conclude that specifically ‘near-peer teaching’ appears beneficial for student teachers and learners as well as for the organisation. The analogy of the ‘journeyman’, as intermediate between ‘apprentice’ and ‘master’, with both learning and teaching tasks, is a valuable but yet under-recognized source of education in the medical education continuum.

[1]  S. Saraswathi,et al.  Student-Led Objective Tutorial (SLOT) in Medical Education , 2006, Medical education online.

[2]  K. Skeff,et al.  Clinical teaching improvement: past and future for faculty development. , 1997, Family medicine.

[3]  J. Morton,et al.  Back to the future: teaching medical students clinical procedures , 2006, Medical teacher.

[4]  S. Ginsburg,et al.  Medical students’ views on peer assessment of professionalism , 2005, Journal of General Internal Medicine.

[5]  J. Wipf,et al.  A literature review of “resident-as-teacher” curricula , 2004, Journal of General Internal Medicine.

[6]  J. Wilson,et al.  Comparing fourth‐year medical students with faculty in the teaching of physical examination skills to first‐year students , 1998, Academic medicine : journal of the Association of American Medical Colleges.

[7]  Neal Whitman,et al.  Peer Teaching: To Teach Is to Learn Twice , 1988 .

[8]  Hedin Ba Expert clinical teaching. , 1989 .

[9]  Cees P M van der Vleuten,et al.  A Description of a Validated Effective Teacher-Training Workshop for Medical Residents , 2006, Medical education online.

[10]  Keith J. Topping,et al.  Peer assisted learning: a practical guide for teachers , 2001 .

[11]  Paul R. Halmos,et al.  How to teach , 1985 .

[12]  D. Long Competency-based residency training: the next advance in graduate medical education. , 2000, Academic medicine : journal of the Association of American Medical Colleges.

[13]  G. Regehr,et al.  Peer teaching and computer-assisted learning: An effective combination for surgical skill training? , 2000, The Journal of surgical research.

[14]  O. ten Cate A teaching rotation and a student teaching qualification for senior medical students , 2007, Medical teacher.

[15]  K. Topping The effectiveness of peer tutoring in further and higher education: A typology and review of the literature , 1996 .

[16]  R. Epstein,et al.  Effects of rater selection on peer assessment among medical students , 2006, Medical education.

[17]  O. ten Cate,et al.  Entrustability of professional activities and competency‐based training , 2005, Medical education.

[18]  D. Irby,et al.  Assessment in medical education. , 2007, The New England journal of medicine.

[19]  Nancy Falchikov,et al.  Learning Together: Peer Tutoring in Higher Education , 2001 .

[20]  M. Field,et al.  Peer-assisted learning in the acquisition of clinical skills: a supplementary approach to musculoskeletal system training , 2007, Medical teacher.

[21]  L. Perkowski,et al.  Why invest in an educational fellowship program? , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[22]  C. Carraccio,et al.  Shifting Paradigms: From Flexner to Competencies , 2002, Academic medicine : journal of the Association of American Medical Colleges.

[23]  S. Kalishman,et al.  Can There Be a Single System for Peer Assessment of Professionalism among Medical Students? A Multi-Institutional Study , 2007, Academic medicine : journal of the Association of American Medical Colleges.

[24]  Olle ten Cate,et al.  Entrustability of professional activities and competency‐based training , 2005 .

[25]  Richard K. Ladyshewsky,et al.  Building cooperation in peer coaching relationships: understanding the relationships between reward structure, learner preparedness, coaching skill and learner engagement , 2006 .

[26]  A. Epstein,et al.  Pay for performance at the tipping point. , 2007, The New England journal of medicine.

[27]  Naomi S. Bardach,et al.  Preparing fourth-year medical students to teach during internship , 2006, Journal of General Internal Medicine.

[28]  J. Wiseman,et al.  Why medical students should learn how to teach , 2007, Medical teacher.

[29]  K. Tyler Peer‐level multiple source feedback for fitness to practice , 2006, Medical education.

[30]  L. Resnick,et al.  Knowing, Learning, and Instruction , 2018 .

[31]  Susan E. Newman,et al.  Cognitive Apprenticeship: Teaching the Craft of Reading, Writing, and Mathematics. Technical Report No. 403. , 1987 .

[32]  Ronald M Epstein,et al.  Peer assessment of professional competence , 2005, Medical education.

[33]  Jane M Blazeby,et al.  The effectiveness and reliability of peer‐marking in first‐year medical students , 2006, Medical education.

[34]  Reed G. Williams,et al.  Accreditation Council for Graduate Medical Education core competencies initiative: the road to implementation in the surgical specialties. , 2004, The Surgical clinics of North America.

[35]  P G Bevan Clinical Teaching , 1976, Annals of the Royal College of Surgeons of England.

[36]  E. Deci,et al.  Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. , 2000, The American psychologist.

[37]  Sung-Tae Hong,et al.  EDITOR'S NOTE - About This Supplement , 2007, Journal of Korean Medical Science.

[38]  Molly Cooke,et al.  American medical education 100 years after the Flexner report. , 2006, The New England journal of medicine.

[39]  S. Durning,et al.  Dimensions and psychology of peer teaching in medical education , 2007, Medical teacher.

[40]  Bertram C. Bruce,et al.  Learning by teaching. , 1977, The Australian nurses' journal. Royal Australian Nursing Federation.

[41]  J. Muller,et al.  Understanding the experience of being taught by peers: the value of social and cognitive congruence , 2008, Advances in health sciences education : theory and practice.

[42]  T. Tang,et al.  "Learning by Teaching": A Peer-Teaching Model for Diversity Training in Medical School , 2004, Teaching and learning in medicine.

[43]  K. Parakh Assessment in medical education. , 2007, The New England journal of medicine.

[44]  R M Harden,et al.  Trends and the future of postgraduate medical education , 2006, Emergency Medicine Journal.

[45]  J. Wipf,et al.  A literature review of “resident-as-teacher” curricula: Do teaching courses make a difference? , 2005 .

[46]  S. Durning,et al.  Student teaching: views of student near-peer teachers and learners , 2007, Medical teacher.

[47]  C. Ringsted,et al.  Student teachers can be as good as associate professors in teaching clinical skills , 2007, Medical teacher.