title: Peer-assisted learning in the acquisition of clinical skills: a supplementary approach to musculoskeletal system training.
abstract: BACKGROUND
  This study evaluates whether peer-assisted learning (PAL) can be used to improve students' clinical examination skills.
  
  
  METHODS
  Four year 4 students trained in PAL techniques and musculoskeletal (MSS) examination used the Gait, Arms, Legs and Spine (GALS) system in a five-week student selected module. These students then recruited and trained 28 second-year trainees. Trainees were evaluated using pre/post confidence questionnaires (100 mm visual analogue scale), a course experience questionnaire (five-point Likert scales) and end-of-year objective structured clinical examination (OSCE) scores.
  
  
  RESULTS
  Baseline data from the experimental group were no different from a separate control group, but after training a statistically significant difference in confidence levels was observed in all parts of GALS, <38 to >73 (p < 0.0001). Course experience questionnaires demonstrated benefits in all parameters including communication skills and group work with all students recommending PAL training. In end-of-year OSCE 93% of PAL-trained students passed the MSS examination station compared with 67% for those participating in the standard curriculum alone (p < 0.0001). Examination results for other clinical skill stations showed no difference in performance between the two groups.
  
  
  CONCLUSIONS
  This study shows that PAL is a useful adjunct to MSS training, and could be incorporated into medical curricula to enhance clinical skills.
authors.affiliation: University of Glasgow, Scotland, UK.
authors.forename: Joanne
authors.initials: J
authors.lastname: Burke
authors.forename: Saeed
authors.initials: S
authors.lastname: Fayaz
authors.forename: Keith
authors.initials: K
authors.lastname: Graham
authors.forename: Robert
authors.initials: R
authors.lastname: Matthew
authors.forename: Max
authors.initials: M
authors.lastname: Field
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement; D005260:Female; D006801:Humans; D007858:Learning; D008297:Male; D009140:Musculoskeletal Diseases; D010379:Peer Group; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods*