Department of Respiratory and Critical Care Medicine Key Laboratory of Respiratory Disease of Zhejiang Province, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, Zhejiang, China.
Department Education, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, Zhejiang, China.
BMC Med Educ. 2024 Mar 29;24(1):350. doi: 10.1186/s12909-024-05130-w.
The transition from medical students to competent physicians requires comprehensive training during residency programs. In China, resident students typically undergo 2- or 3-year training programs. While they learn from patient interactions under the guidance of experienced doctors, integrating theoretical knowledge from textbooks into practical cases remains a challenge. This study aimed to explore the impact of medical interns acting as peer-students on the knowledge mastery of resident students.
The participants of this study consisted of resident students specializing in respiratory medicine at the Second Affiliated Hospital of Zhejiang University, School of Medicine. Resident students were given the opportunity to volunteer as peer-teachers for medical interns in the respiratory department. Those who chose to instruct interns were automatically placed into the test group, while those who opted not to partake in intern instruction formed the control group. In their role as peer-teachers, resident students assumed the responsibility of guiding interns in patient management throughout the entire continuum, spanning from initial engagement to discharge, a commitment that extended over a minimum period of 2 weeks. The resident students' academic performance was evaluated through a departmental examination consisting of 50 multiple-choice questions, which was administered upon completing their rotation. Statistical analysis was performed to assess the impact of peer-teaching on the resident students' performance.
Between January 2023 and June 2023, a total of 158 resident students completed their rotation in the respiratory department. Among them, 40 resident students willingly took on the responsibility of instructing medical interns, while 118 resident students did not participate in intern teaching. With a "one-to-one" teaching policy in place, the overall satisfaction rate of the interns was an impressive 95.35%. Pre-rotation test scores for the test group averaged 81.66 ± 8.325 (Mean ± SD) and the control group averaged 81.66 ± 8.002, without significance. The departmental examination scores of the test group averaged 85.60 ± 7.886, while the control group scored an average of 82.25 ± 8.292, with a statistically significant difference (p = 0.027).
In conclusion, our study underscores the positive influence of peer-teaching on the knowledge mastery of resident students.
从医学生到合格医生的转变需要在住院医师培训计划中进行全面的培训。在中国,住院医师通常接受 2-3 年的培训计划。虽然他们在经验丰富的医生的指导下从患者互动中学习,但将教科书中的理论知识整合到实际病例中仍然是一个挑战。本研究旨在探讨医学生作为同伴学生对住院医师学生知识掌握的影响。
本研究的参与者包括浙江大学医学院第二附属医院呼吸科的住院医师学生。住院医师学生有机会自愿担任呼吸科医学生的同伴教师。选择指导实习生的人自动进入实验组,而选择不参与实习指导的人则组成对照组。作为同伴教师,住院医师学生负责指导实习生在整个患者管理过程中的工作,从最初的接触到出院,承诺至少持续 2 周。住院医师学生的学业成绩通过部门考试进行评估,该考试由 50 个多项选择题组成,在完成轮班后进行。进行统计分析以评估同伴教学对住院医师学生表现的影响。
2023 年 1 月至 6 月,共有 158 名住院医师完成了呼吸科的轮转。其中,40 名住院医师自愿承担指导医学生的责任,而 118 名住院医师未参与实习教学。在实行“一对一”教学政策的情况下,实习生的整体满意度高达 95.35%。实验组的预轮转测试平均得分为 81.66±8.325(Mean±SD),对照组平均得分为 81.66±8.002,无显著性差异。实验组的部门考试平均得分为 85.60±7.886,而对照组平均得分为 82.25±8.292,存在统计学差异(p=0.027)。
综上所述,我们的研究强调了同伴教学对住院医师学生知识掌握的积极影响。