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Same-level peer-assisted learning in medical clinical placements: a narrative systematic review

Tai, Joanna, Molloy, Elizabeth, Haines, Terry and Canny, Benedict 2016, Same-level peer-assisted learning in medical clinical placements: a narrative systematic review, Medical education, vol. 50, no. 4, pp. 469-484, doi: 10.1111/medu.12898.

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Title Same-level peer-assisted learning in medical clinical placements: a narrative systematic review
Author(s) Tai, JoannaORCID iD for Tai, Joanna orcid.org/0000-0002-8984-2671
Molloy, Elizabeth
Haines, Terry
Canny, Benedict
Journal name Medical education
Volume number 50
Issue number 4
Start page 469
End page 484
Total pages 16
Publisher Wiley-Blackwell
Place of publication Chichester, Eng.
Publication date 2016-04
ISSN 1365-2923
Keyword(s) clinical competence
communication
curriculum
education, medical, undergraduate
empathy
feedback
humans
interprofessional relations
judgment
motivation
patient satisfaction
peer group
problem solving
self efficacy
social responsibility
social support
students, medical
teacher training
teaching
Summary BACKGROUND: Peer-assisted learning (PAL) is increasingly used in medical education, and the benefits of this approach have been reported. Previous reviews have focused on the benefits of peer tutoring of junior students by senior students. Forms of PAL such as discussion groups and role-playing have been neglected, as have alternative teacher-learner configurations (e.g. same-level PAL) and the effects on other stakeholders, including clinician educators and patients. This review examines the benefits of same-level PAL for students, clinician educators and patients in pre-registration clinical medical education.

METHODS: Medline, PsycINFO, CINAHL and ERIC were searched in March 2014. A total of 1228 abstracts were retrieved for review; 64 full-text papers were assessed. Data were extracted from empirical studies describing a same-level PAL initiative in a clinical setting, focusing on effects beyond academic performance and student satisfaction. Qualitative thematic analysis was employed to identify types of PAL and to cluster the reported PAL effects.

RESULTS: Forty-three studies were included in the review. PAL activities were categorised into role-play, discussion, teaching and assessment. Only 50% of studies reported information beyond self-report and satisfaction with the PAL intervention. Benefits for students (including development of communication and professional skills) and clinician educators (developing less-used facilitation skills) were reported. Direct patient outcomes were not identified. Caveats to the use of PAL emerged, and guidelines for the use of PAL were perceived as useful.

CONCLUSION: Many student-related benefits of PAL were identified. PAL contributes to the development of crucial skills required for a doctor in the workplace. Vertical integration of learning and teaching skills across the curriculum and tools such as feedback checklists may be required for successful PAL in the clinical environment. Benefits for patients and educators were poorly characterised within the included studies. Future work should evaluate the use of PAL with regards to student, clinician educator and patient outcomes.
Language eng
DOI 10.1111/medu.12898
Field of Research 130209 Medicine, Nursing and Health Curriculum and Pedagogy
Socio Economic Objective 930102 Learner and Learning Processes
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, John Wiley & Sons
Free to Read? Yes
Free to Read Start Date 2017-05-01
Persistent URL http://hdl.handle.net/10536/DRO/DU:30082524

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.