Ong Mang Ning, Lew Kar Min, Cheong Yih Jeng, Ting Evelyn Wan Xuan, Bohari Bakri, Yita Tang, Palayan Kandasami
International Medical University, Seremban, Negeri Sembilan, Malaysia.
Malays J Med Sci. 2020 Oct;27(5):101-107. doi: 10.21315/mjms2020.27.5.10. Epub 2020 Oct 27.
It is reported that medical students do not receive adequate opportunities to learn surgical skill and are at risk of being unable to perform simple surgical procedures safely. The usefulness of peer-assisted learning (PAL) as a tool to assist in delivering surgical skills training is worth exploring.
This is a randomised single blinded controlled trial. Fourth-year students from the university's Surgical Society were asked to volunteer as peer tutors and those in 3rd-year were asked to undertake surgical skills training. A cohort of 35 students were selected and randomised to receive basic surgical skills training conducted either by faculty members or peers. The students' performance of basic suturing skills was assessed using a checklist, through directly observed procedural skills (DOPS) technique. The assessment was conducted by faculty blinded to the training. Students' perception to surgical skills training was assessed using a questionnaire survey.
The suturing and knotting skills of students learned from their peers was comparable to that acquired from faculty. The students' perceived that their peers could conduct surgical skills training similar to their faculty.
PAL approach for basic surgical skills training is as effective as faculty-led training. PAL has the potential to optimise the delivery of surgical skills training in undergraduate medical education.
据报道，医学生没有获得足够的机会学习外科技能，并且面临无法安全进行简单外科手术的风险。同伴辅助学习（PAL）作为一种辅助提供外科技能培训的工具，其效用值得探索。
这是一项随机单盲对照试验。该大学外科协会的四年级学生被邀请自愿担任同伴导师，三年级学生则接受外科技能培训。挑选了35名学生，随机分为两组，分别接受由教员或同伴进行的基本外科技能培训。通过直接观察操作技能（DOPS）技术，使用检查表评估学生的基本缝合技能表现。评估由对培训不知情的教员进行。通过问卷调查评估学生对外科技能培训的看法。
学生从同伴那里学到的缝合和打结技能与从教员那里学到的相当。学生认为同伴能够进行与教员类似的外科技能培训。
PAL方法用于基本外科技能培训与教员主导的培训同样有效。PAL有潜力优化本科医学教育中外科技能培训的提供。
