Morgan Katrina M, Northey Emily E, Khalil Mohammed K
University of South Carolina School of Medicine, Greenville, South Carolina.
Clin Anat. 2017 Oct;30(7):922-928. doi: 10.1002/ca.22954. Epub 2017 Aug 11.
Healthcare professional schools across the world are implementing near-peer tutoring (NPT) programs owing to numerous benefits to both tutors and tutees. This study determined whether higher attendance at NPT sessions led to improvements in course grades for high and low performing students. Fourth-year medical students used the USMLE Step 1 question format to tutor first-year medical students during the second half of the Structure and Function (SF) module, i.e., SF2. Attendance was recorded and students were accordingly divided into three groups: high, moderate, and low-no attendance. Students' performances in SF1 and SF2 were compared using Student's t-test. Differences among the three groups were analyzed using ANOVA and Scheffé post hoc test (P< 0.05). Students who earned 70-79% (C) in SF1 were further examined on the basis of their attendance rate and performance in SF2. Those who attended three or more sessions completed a survey evaluating the NPT program. Course grades were significantly higher in SF2 than SF1 for all students, regardless of attendance rate. However, students who received a C grade in SF1 and had high or moderate attendance improved significantly in their SF2 course grade. Most students agreed that the NPT program was valuable and they evaluated the tutors highly. They also agreed that NPT prepared them for course exams and Step 1, but did not reduce anxiety and stress about Step 1. The positive effect of the NPT program resulted in its expansion to include all first-year modules. Clin. Anat. 30:922-928, 2017. © 2017 Wiley Periodicals, Inc.
由于对辅导者和被辅导者都有诸多益处，世界各地的医疗专业院校都在实施近伴辅导（NPT）项目。本研究确定了参加更多的NPT课程是否会提高成绩优异和成绩较差学生的课程成绩。四年级医学生在结构与功能（SF）模块的后半部分，即SF2期间，使用美国医师执照考试第一步（USMLE Step 1）的问题形式辅导一年级医学生。记录出席情况，并将学生相应地分为三组：高出席组、中等出席组和低出席组。使用学生t检验比较学生在SF1和SF2中的表现。使用方差分析和谢费尔事后检验分析三组之间的差异（P<0.05）。在SF1中成绩为70-79%（C）的学生，根据他们的出席率和在SF2中的表现进行进一步检查。参加三次或更多课程的学生完成了一项评估NPT项目的调查。无论出席率如何，所有学生在SF2中的课程成绩均显著高于SF1。然而，在SF1中获得C级且出席率高或中等的学生在SF2课程成绩上有显著提高。大多数学生认为NPT项目很有价值，并对辅导者评价很高。他们还认为NPT让他们为课程考试和第一步考试做好了准备，但并没有减轻对第一步考试的焦虑和压力。NPT项目的积极效果导致其扩展到包括所有一年级模块。临床解剖学。30:922-928，2017。©2017威利期刊公司。
