Effects of peer-assisted training during the neurology clerkship: a randomized controlled study
Effects of peer-assisted training during the neurology clerkship: a randomized controlled study
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DOI：
10.1111/j.1468-1331.2008.02317.x
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发表时间：
2008-12-01
影响因子：
5.1
通讯作者：
Schwab, S.
中科院分区：
文献类型：
--
作者：
Heckmann, J. G.;Duetsch, M. A.;Schwab, S.
为探讨同伴辅助临床技能培训对神经内科实习生的效果，将122名神经内科实习生随机分为实验组和对照组。其余的时间表在见习期间没有两组之间的差异。主要终点是在课程结束时通过笔试和客观结构化临床考试（OSCE）测试学生的实践技能和知识。次要终点是对实际培训的评价以及理论和实践能力的自我估计增益。在笔试中，同伴培训组（n = 66）得分为69.5 +/- 10.2（95% CI 67-72）100分，研究生培训组（n = 56）66.7 +/- 11.4（95% CI 63.6-69.8）（P = 0.15）。在OSCE中，同行培训组得分为93.7 +/- 6.3（95% CI 92.1至95.2）分，研究生培训组得分为92 +/- 5.1（95% CI 90.6至93.4）（P = 0.11）。在评价和自评项目上，两组学生除研究生的能力高于对照组外，其余项目无显著性差异（P = 0.004）。自我评估的学习成功率在两组中是一样的。
To determine the efficacy of peer-assisted clinical skills training for students during their neurology clerkship.Students (n = 122) were randomized to get clinical skills training from either student (peer) instructors (experimental group) or from experienced clinical staff (control group). The remaining schedule during the clerkship did not differ between both groups. Primary endpoint was students' practical skills and knowledge tested at the end of the course by a written test and objective structured clinical examination (OSCE). Secondary endpoints were evaluation of the practical training and self-estimated gain in theoretical and practical competence.In the written test, the peer-trained group (n = 66) scored 69.5 +/- 10.2 (95% CI 67-72) points of 100 and the postgraduates-trained group (n = 56) 66.7 +/- 11.4 (95% CI 63.6-69.8) (P = 0.15). In the OSCE the peer-trained group scored 93.7 +/- 6.3 (95% CI 92.1 to 95.2) points of 100 and the postgraduates-trained group 92 +/- 5.1 (95% CI 90.6 to 93.4) (P = 0.11). In the evaluation and self-assessment items, there was no significant difference between the two groups except for the postgraduates' higher competence (P = 0.004).Peer-trained students pass written exam and OSCE as efficient as postgraduates-trained students. Self-assessed learning success is equally rated in both groups.