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