Peer teaching: a randomised controlled trial using student-teachers to teach musculoskeletal ultrasound
- 1 February 2010
- journal article
- research article
- Published by Wiley in Medical Education
- Vol. 44 (2), 148-155
- https://doi.org/10.1111/j.1365-2923.2009.03557.x
Abstract
This study (a post-intervention assessment) was designed to assess the effectiveness of peer-assisted learning (PAL) using student-teachers (STs) with limited training to teach complicated technical skills for interpreting ultrasound images of the shoulder. Students in Years 3 and 4 of medical school were randomly assigned to two groups. In the PAL group (PG), teaching was delivered by a group of nine STs from Years 3 and 4, who undertook a 30-minute general training and 1 week of self-teaching. In the staff-led group (SG), students were taught by a group of three ultrasound-experienced doctors. Exposure took place in two separate lessons (each of 120 minutes) and introduced eight standard sectional planes (EULAR) using a 10-MHz Nemio XG system (Toshiba Medical Systems GmbH). The theoretical and practical learning outcomes were tested using a multiple-choice question (MCQ) test and an objective structured clinical examination (OSCE). Qualitative differences were evaluated using Likert scale-based items. Evaluation of differences between the PG (n = 75) and SG (n = 76) in the theoretical (MCQ score; P = 0.644) and practical (total OSCE score; P = 0.133) outcomes showed no difference between the two groups. However, the STs themselves showed significantly better results overall (P < 0.05). Staff members were rated more highly than STs, especially on items relating to competence (P < 0.05). Complicated technical skills can be adequately taught to students using the PAL system by STs with limited training. Self-teaching learning strategies are successful in contexts of limited teacher training. However, despite positive objective results, STs still face prejudice from students with regard to competency.Keywords
This publication has 23 references indexed in Scilit:
- Peer-assisted versus faculty staff-led skills laboratory training: a randomised controlled trialMedical Education, 2009
- Peer-assisted learning: a novel approach to clinical skills learning for medical studentsMedical Education, 2007
- Student teachers can be as good as associate professors in teaching clinical skillsMedical Teacher, 2007
- Peer-led resuscitation training for healthcare students: a randomised controlled studyIntensive Care Medicine, 2002
- Peer tutorials amongst medical studentsMedical Education, 2001
- Scholarship in TeachingAcademic Medicine, 2000
- The current status of ultrasonography in rheumatologyRheumatology, 1999
- Ultrasonography in rheumatology: an evolving techniqueAnnals Of The Rheumatic Diseases, 1998
- The effectiveness of peer tutoring in further and higher education: A typology and review of the literatureHigher Education, 1996
- Using senior students as clinical skills teaching assistantsAcademic Medicine, 1990