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      Peer education for medical students on health promotion and clinical risk management

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          Abstract

          CONTEXT:

          Health promotion (HP) and clinical risk management (CRM) topics are seldom discussed during medical school lessons. Peer-assisted learning (PAL) has long occurred informally in medical education, and interest in this method has recently grown, as it is considered a valuable technique for both tutors and tutees.

          AIMS:

          The aim was to evaluate the impact of HP and CRM PAL intervention on medical students' (tutees) knowledge level.

          SETTINGS AND DESIGN:

          A PAL intervention has been implemented at Udine University medical school during 2017. It was composed of lectures and practical activities conducted by ten near-peer tutors.

          METHODS:

          The effectiveness has been evaluated by giving tutees: (1) a knowledge multiple-choice questionnaire, before and after the intervention; (2) a satisfaction questionnaire; and evaluating (3) tutees' group assignments.

          STATISTICAL ANALYSIS USED:

          We performed descriptive analysis; then McNemar, Wilcoxon signed rank, Wilcoxon Mann–Whitney, and t-tests were applied.

          RESULTS:

          The number of students addressed by PAL intervention was 62. Difference in total correct answers among pre- and post-intervention questionnaires showed a statistically significant improvement ( P < 0.0001), both when analyzing it globally and by area (HP/CRM). Students' satisfaction for CRM was greater than for HP area ( P = 0.0041).

          CONCLUSIONS:

          This educational intervention based on PAL showed its effectiveness producing a statistically significant improvement in students' knowledge. Our findings confirm that PAL could be a feasible method for HP and CRM topics.

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          Most cited references27

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          Peer teaching in medical education: twelve reasons to move from theory to practice.

          To provide an estimation of how often peer teaching is applied in medical education, based on reports in the literature and to summarize reasons that support the use of this form of teaching. We surveyed the 2006 medical education literature and categorised reports of peer teaching according to educational distance between students teaching and students taught, group size, and level of formality of the teaching. Subsequently, we analysed the rationales for applying peer teaching. Most reports were published abstracts in either Medical Education's annual feature 'Really Good Stuff' or the AMEE's annual conference proceedings. We identified twelve distinct reasons to apply peer teaching, including 'alleviating faculty teaching burden', 'providing role models for junior students', 'enhancing intrinsic motivation' and 'preparing physicians for their future role as educators'. Peer teaching appears to be practiced often, but many peer teaching reports do not become full length journal articles. We conclude that specifically 'near-peer teaching' appears beneficial for student teachers and learners as well as for the organisation. The analogy of the 'journeyman', as intermediate between 'apprentice' and 'master', with both learning and teaching tasks, is a valuable but yet under-recognized source of education in the medical education continuum.
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            The effectiveness of peer tutoring in further and higher education: A typology and review of the literature

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              Dimensions and psychology of peer teaching in medical education.

              Peer teaching, an educational arrangement in which one student teaches one or more fellow students, is applied in several forms in medical education. A number of authors have linked peer teaching to theories of education and psychology. Yet no comprehensive overview of what theory can offer to understand dynamics of peer teaching has been previously provided. A framework is designed to categorize forms of peer teaching, distinguishing three dimensions: distance in stage of education, formality of the educational setting and size of the group taught. Theories are categorized in two dimensions: theories that explain benefits of peer teaching from a cognitive versus a social-psychological perspective, and theories that explain benefits for peer learners versus peer teachers. Both dimensional frameworks help to clarify why and in what conditions peer teaching may help students to learn.
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                Author and article information

                Journal
                J Educ Health Promot
                J Educ Health Promot
                JEHP
                Journal of Education and Health Promotion
                Wolters Kluwer - Medknow (India )
                2277-9531
                2319-6440
                2020
                31 March 2020
                : 9
                : 51
                Affiliations
                [1 ] Department of Medicine, University of Udine, Udine, Italy
                [2 ] Accreditation and Quality Unit, Central Friuli University Integrated Trust, Udine, Italy
                [3 ] Hygiene and Clinical Epidemiology Unit, Central Friuli University Integrated Trust, Udine, Italy
                [4 ] Medical Directorate, Central Friuli University Integrated Trust, Udine, Italy
                [5 ] HTA Unit, Regional Trust for Healthcare Coordination, Udine, Italy
                Author notes
                Address for correspondence: Dr. Laura Brunelli, Via Colugna 50, 33100 Udine, Italy. E-mail: laura.brunelli@ 123456uniud.it
                Article
                JEHP-9-51
                10.4103/jehp.jehp_29_20
                7255584
                32489986
                7092a603-309b-40e7-a4c7-84c45c95520a
                Copyright: © 2020 Journal of Education and Health Promotion

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 10 January 2020
                : 18 January 2020
                Categories
                Original Article

                education,health promotion,learning,medical students,peer group,risk management

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