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Location: South Hall, Level 0, MiCo Peer-instructed seminar attendance is positively
associated with exam scores
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Students’ perspectives of a novel near-peer Rianne A.M. Bouwmeester*, University Medical Center
teaching programme for first year clinical Utrecht, Medical Physiology, Utrecht, Netherlands
students in the UK Renske A.M. de Kleijn, Utrecht University, Centre for
teaching and learning, Utrecht, Netherlands
David Annan*, Barts and The London School of Olle Th.J. ten Cate, University Medical Center Utrecht,
Medicine, London, United Kingdom Centre for Research and Development of Education,
Dekan Albasha, Barts and The London School of Utrecht, Netherlands
Medicine, London, United Kingdom Harold V.M. van Rijen, University Medical Center
Nithish Jayakumar, Barts and The London School of Utrecht, Medical Physiology, Utrecht, Netherlands
Medicine, London, United Kingdom
Background: Active engagement in education is
Background: The General Medical Council (GMC) known to improve learning outcome. To enhance
advocates that teaching is an integral part of the active participation in seminar learning, a student-
undergraduate medical curriculum in the UK. Peer centred design was implemented and evaluated for
Assisted Learning (PAL), a student-led near-peer exam scores and student’s motivation.
teaching society, delivered a local, structured teaching Summary of Work: We hypothesized that small group
programme to first-year clinical students over one learning with intensive peer interaction would
academic year. motivate students to prepare for and engage in
Summary of Work: Interested students were assigned seminar learning. Therefore, 30-student seminars were
into small groups of 4-5 and allocated two near-peer subdivided into 5-student buzz groups to discuss
teachers (in year(s) above) for weekly teaching home prepared assignments followed by peer
sessions in core areas of medicine and surgery, with presentations and plenary discussion, moderated by
particular emphasis on pre-identified areas of an expert. After each seminar, students were asked to
difficulty. We investigated student perceptions of reflect on their perceptions and motives in electronic
near-peer teaching using semi-structured questionnaires. Descriptive statistics and linear
questionnaires, and via focus groups, the relevant regression analysis were conducted to correlate
teacher roles for near-peer teachers. attendance with exam scores, and to unravel the
Summary of Results: Findings show the benefits of underlying mechanism.
PAL on the quality of teaching received by students Summary of Results: Seminar attendance was
(83%), students’ ability to cope with the pace of positively associated with exam scores, even when
learning (91%), the non-threatening learning corrected for previous academic achievements. Both
environment (96%), and the positive impact on preparation time and preparedness of peers explained
student learning (96%). The majority of near-peer variance in students’ opinion for seminars being
learners identified ‘role model’ and ‘facilitator’ roles elaborative. Preparedness of peers could also explain
for near-peer teachers, with a significant proportion variance in students’ confidence in finding correct
agreeing that peer tutoring should be a formal part of answers. ‘Elaboration of content’ and ‘confidence in
the undergraduate curriculum (67%). correct answers’ did not predict exam scores.
Discussion and Conclusions: This study qualitatively Students’ motivation indicated that comparing and
demonstrates the benefits of near-peer teaching to discussing with peers appeared to encourage students
first year clinical students, although the quantitative most to prepare, and ‘expected difficulties’ to
effects of near-peer teaching need to be established demotivate students most. Active participation in
by evaluating pre and post-examination scores. It also seminars appeared to be supported by the
showed that near-peers were able to create and opportunity to discuss with and present answers to
deliver a structured teaching programme that was peers. Demotivating factors for active participation
very well received by our student cohort. could not be identified.
Take-home messages: Near-peer teaching during Discussion and Conclusions: Peer-instruction
medical school appears to be an important curricular promotes preparation, causing elaboration of content
consideration and should be actively encouraged. and confidence in answers when peers are prepared.
Additionally, attendance correlates with exam scores.
Take-home messages: Peer-instructed seminar
attendance positively associates with exam scores.

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Peer Assisted Learning on Medical Clinical Developing teaching skills during the early
Placements: An observational study years: A medical student-led organ donation
awareness workshop in secondary schools
Joanna Tai*, Monash University, HealthPEER, Faculty of
Medicine, Nursing and Health Sciences, Melbourne, Zaheer Mangera*, UCL Medical School, Medical School,
Australia London, United Kingdom
Ben Canny, Monash University, Faculty of Medicine, Chrishan Gunasekera, UCL Medical School, Medical
Nursing and Health Sciences, Melbourne, Australia School, London, United Kingdom
Terrence Haines, Monash Health, Allied Health Research John Kinley, UCL Medical School, Medical School,
Unit, Melbourne, Australia London, United Kingdom
Elizabeth Molloy, Monash University, HealthPEER, Paul McGovern, UCL Medical School, Medical School,
Faculty of Medicine, Nursing and Health Sciences, London, United Kingdom
Melbourne, Australia Katherine Woolf, UCL Medical School, Medical School,
London, United Kingdom
Background: Monash University medical students are
oriented to Peer Assisted Learning (PAL) in their pre- Background: We aimed to instill basic teaching skills in
clinical years. There are fewer formal PAL activities on first year medical students so that they could benefit
students’ clinical placements. When surveyed, Year 3 throughout their training in terms of becoming
students reported they used PAL frequently, though effective educators and evaluating their own learning.
felt underqualified to judge their peers’ performance, We specifically chose secondary school pupils (11-16
and lacked skills to provide feedback. An observational year old) as the target audience to encourage a focus
study was undertaken to investigate how students on the style of teaching.
engage in peer learning in the clinical setting. Summary of Work: We recruited first year medical
Summary of Work: An ethnographic study focussing students, two months into medical school, to design
on PAL activities was undertaken at two clinical sites. and deliver an organ donation workshop to secondary
Students were shadowed for two weeks per site. Field school pupils. We provided a bespoke teaching skills
notes covered 75 hours of observations, and seven course to prepare our students involving multiple
hours of student interaction and reflective interviews professionals (psychologist, specialist nurse, patients
with students and tutors were recorded. The data and doctors).
were interrogated using Thematic Analysis. Summary of Results: 170 pupils attended the
Summary of Results: Students spent the majority of workshops over six days and at four different sites.
their day undertaking “work” activities and making 93% of pupils found it acceptable to be taught by first
decisions about which activities and sources (tutorial year students, with high levels of satisfaction in terms
versus ward, consultant versus peer) held value for of enjoyment and relevance. A focus group of the
their learning. Key themes “Fitting in learning around participating medical students revealed themes
the work”, “PAL is our last resort”, and “PAL changes including becoming a role model, developing
over time” will be presented. A tension was observed confidence and legitimacy as an emerging healthcare
between the “work” and the “learning”. PAL was professional and having a better understanding of
perceived as “lesser”, while clinicians’ expert feedback how to prepare and maintain a structure in their
and teaching were privileged. As time progressed, teaching.
students became more comfortable with PAL, because Discussion and Conclusions: Developing teaching
they increasingly trusted their peers' and their own skills in medical students and providing them with a
judgements about what constitutes ‘good clinical unique and challenging platform to practice them
practice’. within allows us to emphasize some of the key
Discussion and Conclusions: To make the most of fundamentals of medical education at a very early
clinical learning opportunities, students require stage, as well as contributing to identity formation as a
orientation to the learning environment, and to PAL in future doctor.
particular. Take-home messages: Encouraging medical students
Take-home messages: • PAL is used by students early on to develop and refine their teaching skills with
despite misgivings about the expertise of peers an appropriate degree of teaching responsibility has
• The value of PAL improves as students develop their potential life-long educational benefits in their
understanding of standards of practice, and capacity development as doctors.
for evaluative judgement.

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Which professional competencies can be Objective measurement of the value of peer
enhanced among medical student tutors due to assisted learning in an undergraduate medical
their peer teaching activities? school setting

J Griewatz*, Competence Centre for University Teaching Mark S. Johnstone*, University of Glasgow, Glasgow,
in Medicine Baden-Wuerttemberg, University of United Kingdom
Tuebingen, Department of Psychosomatic Medicine and Róna C. Anderson, University of Glasgow, Glasgow,
Psychotherapy, Tuebingen, Germany United Kingdom
I Manske, University Hospital, Tuebingen, Germany Nigel I.J. Chan, University of Glasgow, Glasgow, United
A Wosnik, Dean's Office, Faculty of Medicine, University Kingdom
of Tuebingen, Tuebingen, Germany
S Zipfel, Dean's Office, Faculty of Medicine, University of Background: Although peer-assisted learning (PAL)
Tuebingen, Tuebingen, Germany has been widely studied, most evidence is based on
M Lammerding-Köppel, Competence Centre for questionnaires gauging perceived educational benefit.
University Teaching in Medicine Baden-Wuerttemberg, Summary of Work: This study focused on a two day
University of Tuebingen, Tuebingen, Germany peer-assisted clinical skills course for 4th year students
at the University of Glasgow, School of Medicine. Ten
Background: Teaching formats using student peer teaching stations were delivered by nineteen final year
tutors play an important role in medical education. students. To measure knowledge improvement,
Seen from the faculty perspective, student tutors participants completed a multiple-choice test before
chiefly provide support for the teaching staff. Student and after the course. Participants were randomly
tutors themselves, on the other hand, may profit by divided into 2 groups: group 1 sat paper A followed by
acquiring or enhancing their own professional skills by paper B; group 2 sat paper B then paper A. Partici-
teaching or guiding others. Considering this twofold pants were included in the final analysis if they
benefit of student peer teaching against the back- attempted both papers and attended all stations.
ground of professional roles and the importance of Statistical analysis was performed using Minitab 16.0
competence orientation, the question is, in what way (2010). A paired sample T test was used to compare
peer teaching activities can have an impact on the the mean test score of all tests completed before the
development of which professional skills. course and all completed after.
Summary of Work: Based on previous literature Summary of Results: Tutors reported that, in addition
research as well as interviews with the supervising to the high relevance of communication, social skills
lecturers in the respective departments, all student and specialized knowledge in general, there is a great
peer tutors trained between 2012 and 2013 (N=216) importance and individual gain regarding the ability to
were surveyed twice (pre and post their tutorials; “explain”. Self-Assessment of this skill differed
response: 98% and 47%; 5-point Likert scales) to learn significantly in pre/post-tests (1.51 vs 1.23;
about their experiences and ratings. t(99.172)=2.544;p<.05). The results also showed that
Summary of Results: Tutors reported that, in addition the student tutors needed organizational skills with
to the high relevance of communication, social skills respect to themselves (“time and self-management”:
and specialized knowledge in general, there is a great 2.12 vs. 1.71; t(108)=2.345;p<.05) and others. In the
importance and individual gain regarding the ability to post-test, participants reported a high “capacity for
“explain”. Self-Assessment of this skill differed reflection” (1.75) of themselves, which represents a
significantly in pre/post-tests (1.51 vs 1.23; key competency.
t(99.172)=2.544;p<.05). The results also showed that Discussion and Conclusions: We have shown an
the student tutors needed organizational skills with objective improvement in educational performance
respect to themselves (“time and self-management”: following a PAL course.
2.12 vs. 1.71; t(108)=2.345;p<.05) and others. In the Take-home messages: Peer-assisted learning is a
post-test, participants reported a high “capacity for viable teaching tool which could be more widely
reflection” (1.75) of themselves, which represents a implemented in undergraduate medical teaching.
key competency.
Discussion and Conclusions: Preparing for and
conducting tutorials help student tutors to promote
their professional skills. Improving these skills appear
to be useful for faculty as well as student tutors.

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Focus group evaluation of a student-produced Nationwide Train the Trainer program for
open educational resource on obesity undergraduate in the field of Disaster Medicine

Shannon E. Boardman, University of Nottingham, Eleonora Leopardi*, SISM, Segretariato Italiano


Nottingham, United Kingdom Studenti in Medicina (IFMSA Italy), Università del
Shade A. Agboola, University of Nottingham, Piemonte Orientale “A. Avogadro”, Roma, Italy
Nottingham, United Kingdom Luca Ragazzoni, CRIMEDIM Research Center in
Bruce C. McKenzie*, University of Nottingham, Emergency and Disaster Medicine, Università del
Nottingham, United Kingdom Piemonte Orientale “A. Avogadro”, Novara, Italy
Simone Lo Baido, SISM, Segretariato Italiano Studenti in
Background: Medical students may underrate the Medicina (IFMSA Italy), Università del Piemonte
obesogenic environment and overrate personal Orientale “A. Avogadro”, Roma, Italy
responsibility, leading to victim-blaming attitudes as F Maccapani, CRIMEDIM Research Center in Emergency
doctors. Learning from peers can be effective; hence a and Disaster Medicine, Università del Piemonte Orientale
student-produced open educational resource (OER) “A. Avogadro”, Novara, Italy
on obesity may reduce ‘weight bias’. PL Ingrassia, CRIMEDIM Research Center in Emergency
Summary of Work: The OER was storyboarded then and Disaster Medicine, Novara, Italy
built using Xerte Online Toolkits. Six consenting F Della Corte, CRIMEDIM Research Center in Emergency
Nottingham (UK) medical students completed the and Disaster Medicine, Novara, Italy
resource and attended an incentivised focus group.
Three researchers independently coded the transcript Background: In Italy, disaster medicine has not yet
and following coding consensus these data were been included in the medical curriculum. Since 2008,
analysed thematically. SISM, the Italian Medical Students’ Association, in
Summary of Results: All participants appreciated the collaboration with CRIMEDIM, has been delivering a
OER’s interactivity and ease-of-use. Participants nationwide disaster educational project reaching over
credited included scenarios as effective in shifting 20 Italian medical schools. As a consequence of this
attitudes away from predominant personal positive experience, they have newly designed an
responsibility. Students did not see the OER as an innovative training-of-trainers program for medical
alternative to lectures, but advocated follow-up students.
seminars to provide further opportunities for Summary of Work: The program, called
exploration of peer perspectives and new concepts. DisasterTEAM, is a 7-month train-the-trainer course
Discussion and Conclusions: Experience with this OER divided in 5 modules: introduction to disaster
supports a role for student producers and indicates medicine, pre-hospital disaster management, hospital
OERs created by student peers are regarded as disaster preparedness, national disaster response,
reputable, can challenge preconceptions and induce education in disaster medicine. Combining traditional
positive attitude change. Involvement in OER creation instructor-led teaching and innovative methodologies,
brings tangible benefits to the producer. Evaluation of such as e-learning, problem-based learning, table-top
a range of student-led OERs in various medical and computerized simulations, DisasterTEAM provides
subjects might consolidate their place in the the competencies in terms of knowledge, skills and
undergraduate curriculum, as would formal faculty attitudes to create and deliver basic disaster medicine
support and funding. Completion of an OER on obesity courses for undergraduates using the same training
may improve understanding of the underlying health methods.
determinants that contribute to it. Students would Summary of Results: Since February 2013, 6 students
value integrated feedback on change in attitude and have completed the program and other 6 have
knowledge acquisition. recently started it. Ten basic courses have already
Take-home messages: Using OERs influential peer been planned for the current year in ten different
teachers can challenge victim-blaming attitudes medical schools.
towards obese people, ultimately improving their Discussion and Conclusions: DisasterTEAM may
experiences with tomorrow’s doctors. represent a valid example to widely implement
disaster training in different institutions.
Take-home messages: The peer-education method-
ology is a feasible solution in disaster medicine
education and similar approaches may be investigated
in other medical fields.

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‘I SIP’: Using a framework to teach presenting Learning by teaching: benefits to students of
skills to medical students OER production and evaluation

Anish Jagdish Lalji Radia*, Luton and Dunstable Shannon Boardman*, University of Nottingham,
University Hospital, Undergraduate Medical Education, Nottingham, United Kingdom
Luton, United Kingdom Shade Agboola, University of Nottingham, Notttingham,
Parthipan Pillai, Luton and Dunstable University United Kingdom
Hospital, Undergraduate Medical Education, Luton, Bruce McKenzie, University of Nottingham, United
United Kingdom Kingdom
Subramanian Dhinakaran, Luton and Dunstable
University Hospital, Undergraduate Medical Education, Background: Student-selected projects afford
Luton, United Kingdom opportunities for undergraduate involvement as peer
teachers and producers of open educational resources
Background: Effective presentation skills are essential (OERs); student involvement in evaluating pilot OERs
in communication between health care professionals. increases learning potential.
Doctors present on ward rounds to help formulate Summary of Work: An OER on public health aspects
management plans for their patients. Similarly medical of obesity was storyboarded then built using Xerte
students are encouraged to present cases, and many Online Toolkits for peer evaluation by focus group;
are expected to demonstrate these skills in their data were analysed thematically. Contemporaneous
exams. However, formal teaching of presenting skills reflection on learning by the student producer (SP)
is sparse and challenging. was facilitated via a blog. A modified Kirkpatrick
Summary of Work: A presenting model was designed hierarchy was used to gauge SP learning (Yu et al.
and introduced to nine final year medical students at a 2011).
teaching hospital. The students completed a question- Summary of Results: We identified six categories of
naire exploring their previous experiences of potential benefit to SPs of OERs: (1) Research skills
presenting. During a bedside teaching session, the e.g. literature review, qualitative analysis; (2) Creative
students were asked to use the model ‘I SIP’ to skills e.g. understanding copyright, storyboarding
present their cases. Data from a follow up question- process; (3) Teaching skills e.g. activating prior
naire gathered their experiences of using this tool to learning, setting objectives; (4) Domain-specific
develop their presenting skills. (‘I SIP’ mnemonic: knowledge e.g. intervention ladder, wider health
Introduction to the case, Symptoms and signs, determinants; (5) Professional attitudes e.g.
Interpretation of information, Plan and problem list). responding to feedback, valuing the doctor’s educator
Summary of Results: Responses from the role and (6) Communication skills e.g. writing
questionnaires were thematically analysed. Seven concisely, group facilitation. SP educational outcomes
students had not received formal training in mapped to levels 1 (reaction) and 2B (modification of
presenting, and identified challenges in structuring knowledge or skills) of the Kirkpatrick/Yu model.
and summarising. Students reported that the ‘I SIP’ Discussion and Conclusions: Educational outcomes
model formalised their presenting structure, increased for SPs compared to those of peer-learners (who
their confidence and encouraged them to interpret added 2A, change in attitudes). However, such grading
their findings. Students found ‘I SIP’ difficult to apply fails to capture the breadth of benefits indicated via SP
to certain clinical examinations. reflection. Research into the transferability of such
Discussion and Conclusions: Using a model such as ‘I benefits to other subject areas is needed. Logging
SIP’ can help students coherently organise their reflections on skills acquired throughout OER
presentation discourse. Encouraging students to go production and evaluation offers a broader measure
beyond recalling their findings, to interpreting them of SP learning than assessing an OER evaluation per
and formulating a plan, allows progression along se.
Miller’s pyramid. Take-home messages: OERs benefit student peers,
Take-home messages: Presenting skills are invaluable faculty and student producers.
in clinical practice. A framework can be used to help
develop these skills.

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“Learning for Teaching”: Preparing health Peer Assisted Learning as a mandatory part of
professionals to be lifelong learners and an undergraduate medical curriculum
facilitators of learning
Fatima Yuerek, Charité, Universitätsmedizin Berlin,
Nomar Alviar*, University of the Philippines Manila, Department for Curriculum Management, Department
National Teacher Training Center for the Health for Anaesthesiology and Intensiv Care Medicine
Professions, Manila, Philippines CVK/CCM, Berlin, Germany
Raimund Senf, Charité, Universitätsmedizin Berlin,
Background: Becoming lifelong learners and effective Department for Curriculum Management, Department
facilitators of learning are all-important learning for Nephrology and Intensive Care Medicine, Berlin,
outcomes in the education of health professionals. To Germany
address this, a one-semester elective course, Eva Kornemann, Charité, Universitätsmedizin Berlin,
“Learning for Teaching” was introduced into the Department for Curriculum Management, Department
university’s pre-clinical curriculum. for Anaesthesiology and Intensive Care Medicine
Summary of Work: Students enrolled in the course CVK/CCM, Berlin, Germany
are introduced to the principles, processes and Dorothea Eisenmann*, Charité, Universitätsmedizin
methods of learning through a series of didactics, Berlin, Department for Curriculum Management,
discussions, group-based tasks, and individual Department for Anaesthesiology and Intensive Care
reflections. These learning episodes are intended to Medicine CVK/CCM, Berlin, Germany
develop the students’ abilities to reflect on their own Olaf Ahlers, Charité, Universitätsmedizin Berlin,
learning preferences, and choose and implement Department for Curriculum Management, Berlin,
optimal learning strategies for themselves and for Germany
assisting others in their learning.
Summary of Results: The first batches of students Background: Charité – Universitätsmedizin Berlin runs
who have taken the course rated it favorably (mean a program of simulation courses in human medicine.
Likert score 1.59 across 41 items; 1= excellent, 5 = This simulation contains a peer assisted learning (PAL)
poor). Content analysis of student reflections towards Basic Life Support (BLS), session of 90 minutes, in
the end of the course showed a greater understanding which all students of the 6th Semester are teaching
of how their own learning happens, as well as a richer students of the 1st Semester. This study presents
assessment of their strengths and weaknesses in evaluation results from 1st and 6th Semester students.
relation to learning tasks. The extent to which these Summary of Work: One 6th Semester student taught
insights have influenced these students’ present study two 1st semester students in BLS under supervision of
strategies are currently being assessed. qualified staff. Resuscitation simulators, ventilation
Discussion and Conclusions: Providing learning bags and semi-automatic defibrillator were available
experiences about learning can contribute to the for each group. The 6th semester students were
development of competencies for better learning and previously briefed in a mandatory seminar on teaching
teaching. fundamentals. PAL was evaluated using a standardised
questionnaire from the perspective of both
populations. Each item could be marked on a Likert-
scale from “1=very good” to “6 = deficient”. All data
are presented as median (quartiles).
Summary of Results: Floating time for BLS-sessions
was evaluated with 1 (1, 1) in the 1st and 1 (1, 2) in the
6th semester. Overall impression of the session was
1.5 (1, 2) in the 1st and 2 (1, 2) in the 6th semester,
satisfaction with supervision of qualified staff was 2 (1,
2).
Discussion and Conclusions: PAL was evaluated very
well by students from both semesters. Further studies
should analyse the influence of PAL on later exams in
BLS during the 10th semester.
Take-home messages: Mandatory PAL is perceived
well by both, peer tutors and peer tutees.

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Wiki-based peer-assessment of learning journals Auditing Undergraduate Peer Teaching:
Prevalence of teaching and teachers, and
Mikael Niku*, University of Helsinki, Department of perceived usefulness, quality and value
Veterinary Biosciences, Helsinki, Finland
Adam Mayers*, Kings' College London, School of
Background: Learning journals encourage a deep, Medicine, London, United Kingdom
constructive, reflective approach to learning. Ideally,
they should be assessed formatively, during learning. Background: The involvement in and quality of peer
Online peer assessment enables this also with large teaching taking place at an undergraduate level is not
groups of students. well known, nor are student attitudes towards it.
Summary of Work: Formative peer-assessment was Summary of Work: An online questionnaire was
tested in a developmental biology course for 70 first- circulated to all MBBS students at King’s College
year veterinary students, using the Confluence wiki London School of Medicine on exposure to structured
platform. After each lecture or exercise, the students peer teaching (according to given definitions), the
wrote a learning journal entry. They then selected an perceived quality and usefulness of this teaching, the
entry written by a classmate, graded it on several prevalence of students providing peer teaching and its
criteria and provided feedback. The teacher browsed perceived benefit.
the entries, checked that all entries were acceptable Summary of Results: Of 668 students (26% response
and provided collective feedback. The course was rate), 64% stated they had attended organised peer
graded as pass/fail. teaching sessions. The average perceived ‘usefulness’
Summary of Results: The formative peer-assessment score (scale 1-5) for peer teaching was 4.2, and the
supported the journaling by social learning. It was ‘quality’ score 3.9. The high ratings for quality and
especially helpful for students with no previous usefulness are reflected in the desire for more peer
experience in learning journals. The journal entries teaching, and this is congruent with the free text
improved rapidly and contained more reflection and comments. Additional OSCE practice opportunities
reasoning than previously, when the assessment was were the most common theme (43%). 82% stated that
summative. The evaluations contained more genuine they would be ‘very likely’ or ‘quite likely’ to attend
constructive criticism, possibly because they were structured peer teaching if more were offered.
regarded as more useful. Based on student feedback, 33% of students stated they had provided structured
the possibility to read classmates’ entries was the peer teaching, with 81% stating it was useful for their
most important feature of the online platform. own understanding. Comments from peer teachers
Feedback providing concrete suggestions for were that it helps to reinforce, consolidate and check
improvement was regarded as most valuable. The their own understanding. 78% state they make use of
structure of the Confluence wiki allows fluent informal peer teaching ‘very often’ or ‘quite often’.
management of large groups. Discussion and Conclusions: Peer teaching is
Discussion and Conclusions: Online peer-assessment common, desired and valued by students, and
allows effective formative feedback with large groups perceived to be educationally beneficial to those who
of students, supporting the learning journal method. teach.
The Confluence wiki is a powerful platform for the Take-home messages: Students value receiving and
implementation of the journals and peer-assessment. providing peer teaching, encouraging and supporting
Take-home messages: Formatively peer-assessed it is likely to improve the student experience, while
learning journals are recommended for any courses potentially improving their education.
aiming at deep understanding of the topics, and are
effectively implemented on a wiki platform.

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Student-led optional abdominal ultrasound Students’ Perceptions toward Peer Assisted
course at Philipps-University (Marburg, Learning Seminars
Germany)
Liang Lin Seow*, International Medical University,
Johanna Miller*, Philipps-Universität, Marburg, School of Dentistry, Kuala Lumpur, Malaysia
Germany Hanan El Sayed Omar, International Medical University,
Florian Schösser, Philipps-Universität, Marburg, School of Dentistry, Kuala Lumpur, Malaysia
Germany Frederick Smales, International Medical University,
Julian Henze, Philipps-Universität, Marburg, Germany School of Dentistry, Kuala Lumpur, Malaysia
Tina Stibane, Philipps-Universität, Marburg, Germany
Christian Görg, Philipps-Universität, Marburg, Germany Background: In the Dental Programme at the
International Medical University (IMU), peer-assisted
Background: Ultrasound is a simple, accessible and learning (PAL) seminars were introduced for dental
non-invasive imaging technique widely used for material sciences. The seminars were led by fourth
differential diagnosis in German hospitals, often year dental students (peer tutors) for second year
performed by junior doctors. However, students students (peer tutees) to enhance critical thinking and
identified the lack of opportunity to learn basic communication skills.
sonography in the undergraduate curriculum. Summary of Work: The objective was to evaluate
Summary of Work: Collaboration between senior students’ perceptions of the benefits of PAL dental
students, the Department of Internal Medicine and the material sciences seminars between fourth and
Clinical Skills Centre of the university led to develop- second year dental students at IMU.
ment of a foundation course. Peer tutors were trained Methodology: Peer tutors were provided with the
over four weeks in ultrasound practice, which learning outcomes of subject and main relevant
informed planning of the tutorial. Students in the reading materials. The peer tutors are required to
clinical phase of training were offered an eight-hour appraise the reading materials and present in
weekend tutorial structured in three parts: (A) PowerPoint presentation during the seminars. The
Introduction to the physics of ultrasound and standard peer tutors were also required to design 2 One Best
terminology for accurately describing images; (B) Answer (OBA) questions for each learning outcome to
Supervised practice scanning the abdominal organs of assess the understanding of peer tutees. Both peer
peers; (C) Application of new knowledge and skills to tutors and peer tutees’ perceptions regarding this
the description and identification of pathologic mode of learning was obtained via questionnaire
ultrasound images. designed for each role i.e. as peer tutor/ peer tutee
Summary of Results: Most course dates were over- using a 5-point Likert scale.
subscribed, confirming the high level of interest. Summary of Results: 95% of peer tutors agreed that
Participants appreciated the ‘hands-on’ approach and taking peer teacher’s role enhances understanding for
revealed an interest in follow-on training. the subject matter. 89% of peer tutors viewed peer
Discussion and Conclusions: Students led the teaching seminars as an opportunity to improve
implementation of this innovative course, gaining communication skills. 93% of peer tutees were
leadership skills and experience arranging extra- comfortable posting questions to peer tutors during
curricular training, establishing participant prior the seminars and 74% viewed the peer tutors were well
knowledge and professional development needs, and versed with the subject matter.
setting appropriate learning outcomes. Formal Discussion and Conclusions: PAL seminars for dental
evaluation by and certification for participants needs material sciences were well received by both senior
exploration. Peer teaching of sonography enables and junior students.
students to become familiar with a cross-specialty Take-home messages: PAL seminars is an useful
instrument used in routine clinical practice. learning tool to enhance critical thinking and
Take-home messages: Enthusiastic peer teachers can communicaiton skills.
fill gaps in curricula and students are motivated to
engage with extra-curricular work regarded as
beneficial for their future professional practice.

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ABSTRACTS: SESSION 9FF
TUESDAY 2 SEPTEMBER: 1600-1730

9FF17 (21458) 9FF18 (19173)


Student acceptance of clinical skills teaching by Role of providing core objectives and
senior students compared with faculty led monitoring in Peer Assisted Learning Initiatives
teaching in Medical Education: a 2 year study

Ganendra Mallik*, Ross University School of Medicine, Aya Musbahi*, Glasgow Royal, General Surgery,
Clinical Medicine, Roseau, Dominica Glasgow, United Kingdom
Philip Cooles, Ross University School of Medicine, Mohammed Abdelhalim, Gartnavel Hospital, General
Cardiology, Roseau, Dominica Surgery, Glasgow, United Kingdom
Nazim Ghouri, University of Glasgow, Glasgow, United
Background: Peer assisted learning is increasingly Kingdom
being used increasingly in medical school education.
Summary of Work: We compared the acceptability of Background: There has been an increased popularity
trained 2nd year students teaching blood pressure and in peer assisted learning schemes. The aim of this
peripheral pulse assessment to first semester study was to compare student feedback data from
students, with teaching by clinical faculty, by means of peer assisted learning sessions from two consecutive
an online questionnaire to the second year years to see whether the increased input in providing
(preclinical) students and the 3rd and 4th year objectives and increased supervision improved
students in clinical rotations. feedback outcomes.
Summary of Results: There was no difference in Summary of Work: Three sessions were delivered to
acceptability of peer teaching compared with faculty third year medical students at Glasgow University in
teaching. However the clinical students rated their 2012 and four sessions in 2013 to third year medical
first semester experience significantly higher than pre- students. 2013 sessions covered Respiratory,
clinical students. Immunology, Neurology and Gastroenterology. 2012
Discussion and Conclusions: Teaching basic clinical sessions covered Embryology, Immunology and
skills by student peers is acceptable to students. Respiratory. A total of 90 feedback forms were
Clinical students appreciate their clinical skills training collected in 2012 and 87 in 2013. Questionnaire-based
while in basic sciences more that students still in the data was collected on overall rating, knowledge
preclinical curriculum. covered, visual material, enthusiasm, interactivity,
Take-home messages: Peer assisted clinical skills communication and structure. Students were asked to
teaching is as acceptable to students as being taught rate the teacher on the above categories from 1-5 (5
by faculty, but clinical students seem to appreciate being the best and 1 being poorest). Mean scores were
what they learnt more than students still in the basic calculated for each session as well as for each year.
sciences. The only difference between the two years was the
introduction of objectives and increased supervision
and 'vetting' peer teacher presentations.
Summary of Results: Mean overall rating forsessions
was 4.63 and 4.51 for 2012 and 2013 respectively. There
was no annual improvement in any of the parameters
measured except for 'structure of sessions' (4.4 in
2012, 4.6 in 2013). The highest rated individual session
was neurology with 4.94 overall and lowest rated
session was respiratory 4.3 in 2013.
Discussion and Conclusions: Giving peer tutors
objectives and pre-informing them of increased
monitoring of feedback does not improve perceived
quality of sessions delivered based on student
feedback.
Take-home messages: Allowing peer tutors the
freedom and flexibility in teaching and delivering
presentations does not compromise student
satisfaction.

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ABSTRACTS: SESSION 9FF
TUESDAY 2 SEPTEMBER: 1600-1730

9FF19 (23184)
NICE Student Champions: A Paradigm for Peer
to Peer Teaching in Evidence Based Medicine

Guled Jama, University of Cambridge, School of Clinical


Medicine, Cambridge, United Kingdom
Aisha Tahira*, University of Cambridge, School of
Clinical Medicine, Cambridge, United Kingdom

Background: The UK’s National Institute of Health and


Care Excellence (NICE) champions Evidence Based
Medicine (EBM), producing guidelines on a wide range
of healthcare interventions, treatments and policies.
NICE has produced a free, quality assured web
resource, ‘NICE Evidence Search’, to promote access
to accredited EBM resources. NICE runs a certificated
peer-to-peer teaching scheme, ‘NICE Student
Champions’, that trains student ‘Champions’ to
cascade their knowledge.
Summary of Work: 12 Student Champions across 3
year groups attended a NICE training day about
Evidence Search and effective teaching techniques.
They then delivered 5 sessions to 56 students in total,
mostly in their 4th year of study.
Summary of Results: Both attendees and Champions
reported the scheme as being useful, resulting in
increased confidence levels finding evidence.
Champions reported that they gained transferable
teaching skills. These techniques are now being
implemented in other aspects of their course.
Discussion and Conclusions: The Student Champions
scheme furnished all involved students with increased
confidence and knowledge about EBM and gave the
Champions as well as core skills in effective teaching.
Thus, the scheme provides a paradigm for medical
school curricula to teach transferable skills that will
improve education delivery and receipt within the
medical profession in future.
Take-home messages: EBM can be effectively taught
in a peer-to-peer format and this aids learning as well
as enabling students to become more effective
teachers.

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