Peer education for medical students on health promotion and clinical risk management

CONTEXT: Health promotion (HP) and clinical risk management (CRM) topics are seldom discussed during medical school lessons. Peer-assisted learning (PAL) has long occurred informally in medical education, and interest in this method has recently grown, as it is considered a valuable technique for both tutors and tutees. AIMS: The aim was to evaluate the impact of HP and CRM PAL intervention on medical students' (tutees) knowledge level. SETTINGS AND DESIGN: A PAL intervention has been implemented at Udine University medical school during 2017. It was composed of lectures and practical activities conducted by ten near-peer tutors. METHODS: The effectiveness has been evaluated by giving tutees: (1) a knowledge multiple-choice questionnaire, before and after the intervention; (2) a satisfaction questionnaire; and evaluating (3) tutees' group assignments. STATISTICAL ANALYSIS USED: We performed descriptive analysis; then McNemar, Wilcoxon signed rank, Wilcoxon Mann–Whitney, and t-tests were applied. RESULTS: The number of students addressed by PAL intervention was 62. Difference in total correct answers among pre- and post-intervention questionnaires showed a statistically significant improvement (P < 0.0001), both when analyzing it globally and by area (HP/CRM). Students' satisfaction for CRM was greater than for HP area (P = 0.0041). CONCLUSIONS: This educational intervention based on PAL showed its effectiveness producing a statistically significant improvement in students' knowledge. Our findings confirm that PAL could be a feasible method for HP and CRM topics.

[1]  I. Widyahening,et al.  Evaluation of the role of near-peer teaching in critical appraisal skills learning: a randomized crossover trial , 2019, International journal of medical education.

[2]  Annette W Burgess,et al.  Peer teacher training for health professional students: a systematic review of formal programs , 2018, BMC Medical Education.

[3]  Elisabeth K. Kraus,et al.  Peer teaching beyond the formal medical curriculum. , 2018, Advances in physiology education.

[4]  T. Dornan,et al.  “You understand that whole big situation they’re in”: interpretative phenomenological analysis of peer-assisted learning , 2018, BMC Medical Education.

[5]  H. Khalid,et al.  An integrated 2-year clinical skills peer tutoring scheme in a UK-based medical school: perceptions of tutees and peer tutors , 2018, Advances in medical education and practice.

[6]  Jan Griewatz,et al.  Peer-assisted learning (PAL) in undergraduate medical education: An overview. , 2017, Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen.

[7]  T. Rimmele,et al.  Peripheral venous catheter insertion simulation training: A randomized controlled trial comparing performance after instructor-led teaching versus peer-assisted learning. , 2017, Anaesthesia, critical care & pain medicine.

[8]  Eliot L Rees,et al.  How does peer teaching compare to faculty teaching? A systematic review and meta-analysis* , 2016, Medical teacher.

[9]  C. Khaw,et al.  The outcomes and acceptability of near-peer teaching among medical students in clinical skills , 2016, International journal of medical education.

[10]  M. Makary,et al.  Medical error—the third leading cause of death in the US , 2016, British Medical Journal.

[11]  S. Carr,et al.  “Helping someone with a skill sharpens it in your own mind”: a mixed method study exploring health professions students experiences of Peer Assisted Learning (PAL) , 2016, BMC Medical Education.

[12]  E. Molloy,et al.  Physiotherapy students and clinical educators perceive several ways in which incorporating peer-assisted learning could improve clinical placements: a qualitative study. , 2015, Journal of physiotherapy.

[13]  R. Preece,et al.  Peer-assisted teaching of basic surgical skills , 2015, Medical education online.

[14]  Craig Mellis,et al.  Medical students as peer tutors: a systematic review , 2014, BMC medical education.

[15]  Mahdi Saleh,et al.  Using peer-assisted learning to teach basic surgical skills: medical students’ experiences , 2013, Medical education online.

[16]  O. Sobowale,et al.  A near-peer teaching program designed, developed and delivered exclusively by recent medical graduates for final year medical students sitting the final objective structured clinical examination (OSCE) , 2011, BMC medical education.

[17]  R. Sellei,et al.  Peer teaching: a randomised controlled trial using student‐teachers to teach musculoskeletal ultrasound , 2010, Medical education.

[18]  H. Cameron,et al.  Peer assisted learning: a planning and implementation framework: AMEE Guide no. 30 , 2007, Medical teacher.

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

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

[21]  Olle Ten Cate,et al.  Peer teaching in medical education: twelve reasons to move from theory to practice , 2007, Medical Teacher.

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

[23]  D. Nestel,et al.  Peer assisted learning in patient-centred interviewing: the impact on student tutors , 2005, Medical teacher.

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

[25]  L J Donaldson,et al.  Clinical governance and the drive for quality improvement in the new NHS in England , 1998, BMJ.

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

[27]  J. Sobal,et al.  Health promotion beliefs and practices of fourth-year medical students. , 1990, American journal of preventive medicine.

[28]  The principles of quality assurance. WHO Working Group. , 1989, Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care.