Anantharaman Lakshmi Trikkur, Ravindranath Yogitha, Dayal Stephen, Shankar Nachiket
Department of Anatomy, St. John's Medical College, Sarjapur Road, Bangalore, Karnataka, 560034, India.
Surg Radiol Anat. 2019 Oct;41(10):1163-1171. doi: 10.1007/s00276-019-02259-y. Epub 2019 May 23.
The utility of peer-assisted learning (PAL) in anatomy education has been recognized. In this study, PAL was incorporated into osteology teaching for the first-year medical students and compared to traditional didactic methods (TDM).
This was a cross-over intervention study. The class of 60 students was divided into two equal groups. The first group underwent PAL for five upper limb osteology sessions and TDM for all lower limb osteology classes. The second group underwent TDM for five upper limb osteology classes and PAL for lower limb osteology classes. A pre-session test (PrST) and post-session test (PoST) were conducted for each session using multiple choice type questions. Perceptions of students about PAL were collected using a questionnaire. Between and within group differences were estimated using the independent sample T test and paired T test, respectively. The responses in the questionnaire were summarized and open-ended responses categorized into broad themes.
Greater group differences were noted in the PrST as compared to the PoST mean scores, with the PAL group showing higher mean scores for both upper and lower limb sessions. Significantly higher PoST scores compared to PrST scores for all the sessions were observed regardless of the method used. Significantly higher scores in the PrST or PoST scores were noted in the PAL group for five sessions. Most aspects of PAL were appreciated by the students.
This study provides evidence that PAL is at least as effective as TDM in learning osteology among the first-year medical students.
同伴辅助学习(PAL)在解剖学教育中的效用已得到认可。在本研究中,PAL首次被纳入一年级医学生的骨学教学,并与传统讲授法(TDM)进行比较。
这是一项交叉干预研究。60名学生的班级被平均分为两组。第一组在上肢骨学的五个课程中接受PAL,在所有下肢骨学课程中接受TDM。第二组在上肢骨学的五个课程中接受TDM,在下肢骨学课程中接受PAL。每次课程使用多项选择题进行课前测试(PrST)和课后测试(PoST)。通过问卷调查收集学生对PAL的看法。组间和组内差异分别使用独立样本T检验和配对T检验进行估计。对问卷中的回答进行总结,并将开放式回答归类为广泛的主题。
与PoST平均分数相比,PrST中观察到更大的组间差异;PAL组在上肢和下肢课程中的平均分数均更高。无论使用何种方法,所有课程的PoST分数均显著高于PrST分数。PAL组在五个课程的PrST或PoST分数中显著更高。学生对PAL的大多数方面表示赞赏。
本研究提供的证据表明,在一年级医学生学习骨学方面,PAL至少与TDM一样有效。