Abstract

ObjectivesThis study aims to: 1) Evaluate whether a near-peer program improves perceived OSCE performance; 2) Identify factors motivating students to teach; 3) Evaluate role of near-peer teaching in medical education.MethodsA near-peer OSCE teaching program was implemented at Monash University’s Peninsula Clinical School over the 2013 academic year. Forty 3rd-year and thirty final-year medical students were recruited as near-peer learners and educators, respectively. A post-program questionnaire was completed by learners prior to summative OSCEs (n=31), followed by post-OSCE focus groups (n=10). Near-peer teachers were interviewed at the program’s conclusion (n=10). Qualitative data was analysed for emerging themes to assess the perceived value of the program.ResultsLearners felt peer-led teaching was more relevant to assessment, at an appropriate level of difficulty and delivered in a less threatening environment than other methods of teaching. They valued consistent practice and felt confident approaching their summative OSCEs. Educators enjoyed the opportunity to develop their teaching skills, citing mutual benefit and gratitude to past peer-educators as strong motivators to teach others.Conclusions Near-peer education, valued by near-peer learners and teachers alike, was a useful method to improve preparation and perceived performance in summative examinations. In particular, a novel year-long, student-run initiative was regarded as a valuable and feasible adjunct to faculty teaching.

Highlights

  • Peer-education is a widely-used teaching model where students teach their peers and junior students

  • In order to bridge this gap, this paper describes a pilot near-peer program conducted over 10 months at Peninsula Clinical School (PCS) in 2013 which aimed to improve exam performance of Year 3 medical students

  • Near-peer learners (NPLs) consisted of 40 third-year medical students based at Monash University’s Peninsula Clinical School (MUPCS), who were recruited via email and social media

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Summary

Introduction

Peer-education is a widely-used teaching model where students teach their peers and junior students. A near-peer teacher (NPT) is someone at least one year senior to their near-peer learner (NPL) in the context of medical training.[1,2]. Peer-to-peer teaching was first most clearly proposed in 1988 by Whitman and Fife,[3] who explored peer-education strategies used in tertiary education. Gaining popularity in recent years, the mutual benefit of peer-education is supported by subjective and objective evidence. Learners find that peer-education improves their understanding of subject matter and is targeted at an appropriate level. Other benefits include better access to role-models, a ‘safer’ learning environment, improved confidence and enhanced motivation. Some studies show that peer-educators are occasionally preferred over faculty educators.[6,7,8,9]

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