title: Impact of near-peer teaching rounds on student satisfaction in the basic surgical clerkship.
abstract: BACKGROUND
  Teaching rounds are rarely featured in the surgery clerkship. Senior students interested in surgery are suited to precept teaching rounds. Near-peer teaching can provide benefits to both learners and preceptors.
  
  
  METHODS
  Near-peer teaching rounds consisted of senior student-precetors leading groups of 3 clerkship students on teaching rounds once during the clerkship. We prospectively surveyed student satisfaction before and after instituting near-peer teaching rounds. We retrospectively gathered qualitative narratives from student-preceptors.
  
  
  RESULTS
  The survey response rate was 93% before near-peer teaching rounds were instituted and 85% after. Satisfaction with the learning environment and the quality and amount of small-group teaching were significantly higher after the institution of near-peer teaching rounds (P ≤ .001 for all 3). Satisfaction with the overall clerkship and baseline interest in surgery were not significantly different. Student-preceptors reported gaining valuable experience for future roles in academia as residents and attending surgeons.
  
  
  CONCLUSIONS
  Student satisfaction with small-group teaching and the learning environment increased after the institution of near-peer teaching rounds in the surgery clerkship. Student-preceptors gained early experience for careers in academic surgery.
authors.affiliation: Department of Surgery, Johns Hopkins University School of Medicine, 1800 Orleans St, Baltimore, MD 21287, USA; Department of Surgery, University of California San Francisco, 513 Parnassus Ave, San Francisco, CA 94143, USA. Electronic address: joseph.lin@ucsf.edu.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Lin
authors.affiliation: Department of Surgery, Johns Hopkins University School of Medicine, 1800 Orleans St, Baltimore, MD 21287, USA; Department of Surgery, Duke University School of Medicine, Durham, NC, USA.
authors.forename: Norma
authors.initials: N
authors.lastname: Farrow
authors.affiliation: Department of Surgery, Johns Hopkins University School of Medicine, 1800 Orleans St, Baltimore, MD 21287, USA; Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: Brenessa M
authors.initials: BM
authors.lastname: Lindeman
authors.affiliation: Department of Surgery, Johns Hopkins University School of Medicine, 1800 Orleans St, Baltimore, MD 21287, USA; Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
authors.forename: Anne O
authors.initials: AO
authors.lastname: Lidor
mesh_terms: D001291:Attitude of Health Personnel; D002982:Clinical Clerkship; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D010379:Peer Group; D010549:Personal Satisfaction; D013337:Students, Medical; D056164:Teaching Rounds
keywords: Near-peer teaching; Surgery clerkship; Surgical education; Teaching rounds