{"pk":11007,"title":"A Novel Approach to Medical Student Peer-assisted Learning Through Case-based Simulations","subtitle":null,"abstract":"Introduction:\n Peer-assisted learning (PAL) is the development of new knowledge and skills through active learning support from peers. Benefits of PAL include introduction of teaching skills for students, creation of a safe learning environment, and efficient use of faculty time. We present a novel approach to PAL in an emergency medicine (EM) clerkship curriculum using an inexpensive, tablet-based app for students to cooperatively present and perform low-fidelity, case-based simulations that promotes accountability for student learning, fosters teaching skills, and economizes faculty presence.\n \nMethods:\n We developed five clinical cases in the style of EM oral boards. Fourth-year medical students were each assigned a unique case one week in advance. Students also received an instructional document and a video example detailing how to lead a case. During the 90-minute session, students were placed in small groups of 3-5 students and rotated between facilitating their assigned cases and participating as a team for the cases presented by their fellow students. Cases were supplemented with a half-mannequin that can be intubated, airway supplies, and a tablet-based app (SimMon, $22.99) to remotely display and update vital signs. One faculty member rotated among groups to provide additional assistance and clarification. Three EM faculty members iteratively developed a survey, based on the literature and pilot tested it with fourth-year medical students, to evaluate the course.\nResults:\n 135 medical students completed the course and course evaluation survey. Learner satisfaction was high with an overall score of 4.6 on a 5-point Likert scale. In written comments, students reported that small groups with minimal faculty involvement provided a safe learning environment and a unique opportunity to lead a group of peers. They felt that PAL was more effective than traditional simulations for learning. Faculty reported that students remained engaged and required minimal oversight. \nConclusion:\n Unlike other simulations, our combination of brief, student-assisted cases using low-fidelity simulation provides a cost-, resource- and time-effective way to implement a medical student clerkship educational experience.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Educational Innovation, Medical Students, Peer Assisted Learning"}],"section":"Educational Advances","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4j76c0td","frozenauthors":[{"first_name":"Joshua","middle_name":"","last_name":"Jauregui","name_suffix":"","institution":"University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"Steven","middle_name":"","last_name":"Bright","name_suffix":"","institution":"University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"Jared","middle_name":"","last_name":"Strote","name_suffix":"","institution":"University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"Jamie","middle_name":"","last_name":"Shandro","name_suffix":"","institution":"University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington","department":"None"}],"date_submitted":"2017-06-16T00:52:34Z","date_accepted":"2017-06-16T00:52:34Z","date_published":"2017-12-18T18:03:29Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11007/galley/5935/download/"}]}