Abstract
Background: All students cannot be individually trained in physical examination skills due to faculty and time limitations. Peer-assisted learning (PAL) can solve this dilemma if it is used inundergraduate curriculum.Empirical effectiveness of horizontal peer-assisted learning model has not been reported previously.The objective of this study was to compare horizontal peer-assisted learning (PAL) with expert-assisted learning (EAL) in teaching of physical examination skills.Methods: This is a randomized controlled study (Solomon four group design) carried out at a medical school.A total of 120 undergraduate year 5 students were randomized into two groups to undergo training in four areas of physical examination. Stratified random sampling technique was used. Group 1 was trained by EAL while Group 2 by PAL. Half students from both groups were given a pre-test to assess the testing effect. Both groups were given a post-test in the form of an OSCE. Independent samples t-test and paired sample t-test were used as tests of significance.Results: Group 2 scored significantly higher than Group 1. There was significant difference (p=.000) in mean post-test scores of Group-1 (69.98±5.6) and Group-2 (85.27±5.6). Difference in mean scores was not significant (p=.977) between students who had taken the pre-test and those who had not. Conclusion:This study has implications in curriculum developmentas itprovides quantitative evidence indicating that horizontal PAL as a learning strategy can actually replace, rather than augment, expert-assisted learning in teaching clinical skills to undergraduate students. Keywords: Clinical education;Horizontal PAL; Peer-assisted learning; Quantitative; Assessment; Randomized controlled trial; Solomon’s four group design

Inamullah Shah,, Usman Mahboob, Sajida Shah. (2017) EFFECTIVENESS OFHORIZONTAL PEER-ASSISTED LEARNING INPHYSICAL EXAMINATIONPERFORMANCE, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 29, Issue 4.
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