title: Student attitudes to peer physical examination: a qualitative study of changes in expressed willingness to participate.
abstract: BACKGROUND
  A number of studies have explored student attitudes to examining each other (peer physical examination: PPE). Differences have emerged in whether students prefer to be examined by friends or strangers. Changes have been reported in how students feel about PPE if asked before or after the PPE programme commences. RESEARCH INTENTION: Since a Grounded Theory paradigm was employed, there was no formal research hypothesis: the research intention was to explore factors which might underlie changes in student willingness to undertake PPE following familiarity with the process.
  
  
  METHODS
  Students who had completed an Examining Fellow Students Questionnaire at the beginning and end of the academic year, and who had indicated a change in willingness to participate, were invited to attend focus groups. Four focus groups were convened and transcripts were analysed for common themes.
  
  
  RESULTS
  Surprisingly, students downplayed the significance of changes. Also unexpectedly, dichotomous views emerged on familiarity, with some students preferring friends for examination and others preferring strangers. Staff embarrassment also emerged as a factor inhibiting student participation.
  
  
  CONCLUSIONS
  The significance of reported changes in attitudes to PPE may have been exaggerated. Proposals for increasing the willingness of students to participate in PPE are developed from the emergent themes.
authors.affiliation: School of Medicine and Health, University of Durham, Queen's Campus, Stockton-on-Tees, UK. j.c.mclachlan@durham.ac.uk
authors.forename: J C
authors.initials: JC
authors.lastname: McLachlan
authors.forename: P
authors.initials: P
authors.lastname: White
authors.forename: L
authors.initials: L
authors.lastname: Donnelly
authors.forename: D
authors.initials: D
authors.lastname: Patten
mesh_terms: D001291:Attitude of Health Personnel; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D007400:Interprofessional Relations; D008297:Male; D010379:Peer Group; D010808:Physical Examination / Q000379:methods*; D012737:Sex Factors; D013337:Students, Medical / Q000523:psychology*