The University of Western Australia, Perth, Western Australia.
Med Teach. 2012;34(5):392-7. doi: 10.3109/0142159X.2012.668240. Epub 2012 Apr 3.
In medical education, peer-assisted learning (PAL) refers to teaching occurring between fellow students. Few descriptions of its use to teach clinical examination have been published. Student Grand Rounds (SGR) is a student-led initiative whereby senior students volunteer to teach clinical examination to pre-clinical peers. Student tutors attend a modified Teaching on the Run (TOTR) course originally designed to train clinicians to teach students and junior doctors.
We investigated the value of SGR in teaching pre-clinical students, and evaluated the effectiveness of TOTR.
Over 9 months, tutors and participants in each SGR tutorial completed an online survey. At the conclusion of annual TOTR workshops (2004-2010), participants evaluated their impressions of the course.
A total of 64 SGR tutorials were attended by a total of 321 students. All agreed that tutorials were beneficial and enjoyable, with a threefold increase in the number of students self-identifying as able to perform the skills required. TOTR participants classified the course as both relevant and beneficial, and all course outcomes were achieved. SGR tutors reported improved knowledge and confidence in teaching following SGR and TOTR.
PAL is effective in supplementing teaching of clinical examination. Senior students learn valuable skills and gain experience in teaching.
在医学教育中，同伴辅助学习（PAL）是指学生之间的教学。很少有关于其用于教授临床检查的描述。学生大查房（SGR）是一项由学生主导的倡议，高年级学生自愿向临床前的同龄人教授临床检查。学生导师参加了经过修改的“边跑边教”（TOTR）课程，该课程最初旨在培训临床医生向学生和初级医生教授知识。
我们调查了 SGR 在教授临床前学生方面的价值，并评估了 TOTR 的效果。
在 9 个月的时间里，每个 SGR 教程的导师和参与者都完成了在线调查。在 TOTR 年度研讨会结束时（2004-2010 年），参与者评估了他们对课程的印象。
共有 64 个 SGR 教程，共有 321 名学生参加。所有学生都认为教程有益且有趣，有三分之一的学生自认为能够掌握所需的技能。TOTR 参与者认为该课程既相关又有益，并且实现了所有课程目标。SGR 导师报告说，在参加 SGR 和 TOTR 后，他们在教学方面的知识和信心都有所提高。
PAL 可有效补充临床检查教学。高年级学生在教学方面学到了宝贵的技能并获得了经验。
