Cross-year peer tutoring on internal medicine wards: effects on self-assessed clinical competencies–a group control design study.

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Cross-year peer tutoring on internal medicine wards: effects on self-assessed clinical competencies--a group control design study.

Med Teach. 2009 Feb;31(2):e32-5

Authors: Nikendei C, Andreesen S, Hoffmann K, Junger J

BACKGROUND: Peer-assisted learning (PAL) has become a well-accepted teaching method within medical education. However, descriptions of on-ward PAL programmes are rare. We introduced a PAL programme with a focus on clinical competencies on internal medicine wards. AIMS: To assess the effects of an on-ward PAL programme on self-assessed clinical competencies. METHOD: A total of 168 medical students were randomly assigned to one of the seven intervention wards or one of the seven control wards. During their 5-week ward-placement, the intervention group (IG; n = 88) received 10 patient-centred tutorials lead by final year tutors: (I) history taking, (II) physical examination, (III) blood withdrawal, (IV) infusion, (V) patient files, (VI and VII) ECG, (VIII-X) chart rounds. The control group (CG; n = 80) did not take part in the PAL programme. Clinical competencies were self-assessed pre- and post-intervention. Results: For five of the ten assessed clinical competencies, increases in self-confidence ratings were significantly higher in the IG as compared to CG. CONCLUSIONS: Results provide preliminary evidence to suggest that PAL programmes on internal medicine wards and with final year students as peer tutors may represent a valuable additional tool within medical clerkships. However, the findings must be confirmed and clarified in further research.

PMID: 19330661 [PubMed - indexed for MEDLINE]

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