Office of Medical Education, Alpert Medical School, Providence, RI 02903, USA. Julie
Teach Learn Med. 2013;25(1):97-102. doi: 10.1080/10401334.2012.741544.
Doctoring is a 2-year preclinical course designed to teach medical students fundamental clinical skills.
We designed, implemented, and evaluated an innovative and cost-effective peer-mentoring program embedded within Doctoring. Our Teaching Academy (TA) included a formal orientation for teaching "Fellows."
During academic years 2008-09 and 2009-10, 2nd-year students were systematically selected by course faculty and then trained as TA Fellows to peer-mentor 1st-year students. Both TA Fellows and 1st-year medical students completed anonymous written surveys.
Peer-mentors reported a significant increase of confidence in their ability to provide feedback (p < .001). First-year students reported a significant increase of confidence in their ability to conduct a medical interview and perform a physical exam (p < .001 for each).
Student participation in a formal peer-mentor program embedded within a clinical skills course significantly increased, for both teachers and learners, confidence in their skills. Our program is easily transferrable to other courses and institutions.
医学教育是一个为期两年的临床前课程,旨在教授医学生基本的临床技能。
我们设计、实施和评估了一项创新且具有成本效益的同伴指导计划,该计划嵌入在医学教育中。我们的教学学院 (TA) 包括对“研究员”进行教学的正式指导。
在 2008-09 学年和 2009-10 学年,课程教师系统地选择二年级学生,并对其进行培训,使其成为 TA 研究员,以指导一年级学生。TA 研究员和一年级医学生都完成了匿名书面调查。
同伴导师报告说,他们提供反馈的能力有了显著提高(p<.001)。一年级学生报告说,他们进行医学访谈和进行体格检查的能力有了显著提高(每项均<.001)。
学生参与嵌入临床技能课程的正式同伴指导计划显著提高了教师和学习者对自身技能的信心。我们的计划易于转移到其他课程和机构。