IJAR.2024.202

Type of Article:  Original Research

Volume 12; Issue 4 (December 2024)

Page No.: 9049-9056

DOI: https://dx.doi.org/10.16965/ijar.2024.202

Effectiveness of Peer Assisted Learning on Academic Performance of First Phase Medical Students in Comprehending Difficult Topics of Neuroanatomy

Ruchira Sethi *1, Shweta Jha 2, Alok Tripathi 3, Vimala Venkatesh 4.

*1 Professor, Department of Anatomy, UNS Autonomous State Medical College, Jaunpur, India. ORCiD: 000-0003-2958-2510

2 Associate Professor, Department of Anatomy, Netaji Subhas Medical College and Hospital, Bihta, India. ORCiD: 000-0001-6167-5683

3 Professor, Department of Surgery, Baba Kinaram Medical College, Chandauli, India. ORCiD: 0000-0002-7864-9817

4 Professor, Department of Microbiology, King George’s Medical University, India. ORCiD: 0000-0003-0322-4248

Corresponding author: Ruchira Sethi, Professor, Department of Anatomy, UNS Autonomous State Medical College, Jaunpur, India. E-Mail: ruchirasethi@gmail.com

ABSTRACT

Background: Peer assisted learning (PAL), a dynamic teaching tool, fosters collaborative learning, knowledge acquisition, and skills development in medical education. Neuroanatomy is a critical and complex part of medical curriculum which students need to understand during initial period of anatomy learning. With the help of PAL, the struggle faced by first phase medical learners to complex learning patterns is addressed. The study aims to quantitatively define PAL’s outcomes by comparison of academic scores and evaluate learner’s perception towards PAL.

Material and Methods: The study was conducted in UNS Autonomous State Medical College, Jaunpur in a batch of 99 first phase medical learners (year 2022-23). Teaching material, teaching learning methods and assessment material were created from select topics of neuroanatomy. PAL session was conducted for each (5) topic with 10 tutees in each session. After every session post-test analysis was done for both tutees and tutors, followed by a survey questionnaire assessing the benefits of PAL.

Results: The results show a significant increase in performance metrics for learners after the PAL session, though the results were non-significant for tutors. The survey report suggests benefits from PAL in form of active engagement, improved problem-solving skills and enhanced critical thinking.

Conclusion: The study underscores PAL as a valuable and effective teaching tool in medical education that can be used at the very outset of medical learning. It works as a supportive aid to low performers who face challenge in handling the complex parts of a curriculum.

Keywords: Peer Assisted Learning, Peer Tutoring, Medical Education, Neuroanatomy, First Phase Learners, Slow Learners.

REFERENCES

[1]. Topping, K.J. The effectiveness of peer tutoring in further and higher education: A typology and review of the literature. High Educ 1996;32:321-345
https://doi.org/10.1007/BF00138870
[2]. Andrew Jay E, Starkman SJ, Pawlina W, Lachman N. Developing medical students as teachers: An anatomy-based student-as-teacher program with emphasis on core teaching competencies. Anatomical Sciences Education. 2013;6(6):385-92.
https://doi.org/10.1002/ase.1364
PMid:23907836
[3]. Naeger DM, Conrad M, Nguyen J, Kohi MP, Webb EM. Students Teaching Students. Academic Radiology. 2013;20(9):1177-82.
https://doi.org/10.1016/j.acra.2013.04.004
PMid:23810649
[4]. Burgess A, McGregor D, Mellis C. Medical students as peer tutors: a systematic review. BMC Medical Education. 2014; 14:115-122.
https://doi.org/10.1186/1472-6920-14-115
PMid:24912500 PMCid:PMC4237985
[5]. Ananthakrishnan, Nilakantan. Competency based undergraduate curriculum for the Indian Medical Graduate, the new MCI curricular document: Positives and areas of concern. SBV Journal of Basic, Clinical and Applied Health Science. 2018;1. 34-42.
https://doi.org/10.5005/jp-journals-10082-01149
[6]. Agius A, Stabile I. Undergraduate peer assisted learning tutors’ performance in summative anatomy examinations: a pilot study. International Journal of Medical Education. 2018 ;30(9):93-8.
https://doi.org/10.5116/ijme.5aa3.e2a6
PMid:29621744 PMCid:PMC5951778
[7]. Anantharaman LT, Ravindranath Y, Dayal S, Shankar N. Peer-assisted learning versus didactic teaching in osteology for first-year Indian undergraduate medical students: a quasi-experimental study. Surgical and Radiologic Anatomy. 2019;41(10):1163-71.
https://doi.org/10.1007/s00276-019-02259-y
PMid:31123772
[8]. Javaid MA, Chakraborty S, Cryan JF, Schellekens H, Toulouse A. Understanding neurophobia: Reasons behind impaired understanding and learning of neuroanatomy in cross-disciplinary healthcare students. Anatomical Sciences Education. 2017;11(1):81-93.
https://doi.org/10.1002/ase.1711
PMid:28628732
[9]. Sotgiu MA, Mazzarello V, Bandiera P, Madeddu R, Montella A, Moxham B. Neuroanatomy, the Achille’s Heel of Medical Students. A Systematic Analysis of Educational Strategies for the Teaching of Neuroanatomy. Anatomical Sciences Education. 2019 Feb 19;13(1):107-16.
https://doi.org/10.1002/ase.1866
PMid:30702219
[10]. Hazelton L. Changing Concepts of Neuroanatomy Teaching in Medical Education. Teaching and Learning in Medicine. 2011;23(4):359-64.
https://doi.org/10.1080/10401334.2011.611777
PMid:22004321
[11]. AlShareef SM, Aldayel AY, Alghamdi HM, Alosaimi MB, Alharbi MM, Aldayel AA, et al. Perceptions on Reciprocal Peer Teaching Among Medical Students As Learners And As Tutors. Advances in Medical Education and Practice. 2019; 10:817-27.
https://doi.org/10.2147/AMEP.S220728
PMid:31572043 PMCid:PMC6756853
[12]. Holliday, Tacy. Evaluating the Effectiveness of Tutoring: An Easier Way. The Learning Assistance Review 17;2012:21-32.
[13]. Amer, Mona & Althaqafi, Raad & Assiri, Sara & Alsufyani, Atheer & Alrubaei, Faisal & Mohamed, Nader. Peer-assisted learning: undergraduate medical students’ perception and satisfaction. Millenium – Journal of Education Technologies and Health. 2021;11-22.
[14]. Ullah, Irfan & Kaleem, Muhammad. Effectiveness of Peer Tutoring on The Academic Achievements of Tutors and Tutees with Respect to Knowledge, Comprehension and Application Levels of Cognitive Domain. FWU Journal of Social Sciences. 2020;14:68-79.
https://doi.org/10.51709/FW12726
[15]. Medical Council of India, Competency based Undergraduate curriculum for the Indian Medical Graduate, 2018; 1: 72-74. https://www.nmc.org.in/wp-content/uploads/2020/01/UG-Curriculum-Vol-I.pdf
[16]. Bujang, Mohamad Adam & Hon, Yoon Khee & Lee, Khee & Yee, Keng. A Step-by-step Guide to Questionnaire Validation Research 2022. Version v1 Institute for Clinical Research, NIH MY ISBN: ISBN: 9781005256180
[17]. Kumar D, Jaipurkar R, Shekhar A, Sikri G, Srinivas V. Item analysis of multiple choice questions: A quality assurance test for an assessment tool. Med J Armed Forces India. 2021 Feb;77:S85-S89.
https://doi.org/10.1016/j.mjafi.2020.11.007
PMid:33612937 PMCid:PMC7873707
[18]. Benè KL, Bergus G. When learners become teachers: a review of peer teaching in medical student education. Fam Med. 2014;46(10):783-7.
[19]. Kamble PH, Khare AS, Maske SS, Sharma G, Kowale AN. Peer-assisted teaching method to foster learning physiological basis of electrocardiography among 1st year medical graduate students: An interventional study. J Educ Health Promot. 2019;14(8):64.
https://doi.org/10.4103/jehp.jehp_313_18
PMid:31008131 PMCid:PMC6442245
[20]. Tai J, Molloy E, Haines T, Canny B. Same-level peer-assisted learning in medical clinical placements: a narrative systematic review. Med Educ. 2016;50(4):469-84.
https://doi.org/10.1111/medu.12898
PMid:26995485
[21]. Nevan Bermingham, Frances Boylan & Barry Ryan .The 4C’s of PAL – An evidence-based model for implementing peer assisted learning for mature students, Innovations in Education and Teaching International, 2023;60(3):401-411.
https://doi.org/10.1080/14703297.2022.2050779
[22]. Zhang, Y., Maconochie, M. A meta-analysis of peer-assisted learning on examination performance in clinical knowledge and skills education. BMC Med Educ 2022; 22;147.
https://doi.org/10.1186/s12909-022-03183-3
PMid:35248051 PMCid:PMC8897892
[23]. Rogers DA, Regehr G, Gelula M, Yeh KA, Howdieshell TR, Webb W. Peer teaching and computer-assisted learning: An effective combination for surgical skill training? J Surg Res. 2000; 92:53-55.
https://doi.org/10.1006/jsre.2000.5844
PMid:10864482
[24]. Omar F, Zaheer M, Ahmed M. Effectiveness of peer teaching in medical education: medical student’s perspective. Adv Med Educ Pract. 2018;9:199-201.
https://doi.org/10.2147/AMEP.S161507
PMid:29608206 PMCid:PMC5868736
[25]. Elhassan, M. The Hospitalist Huddle: a 1-year experience of teaching Hospital Medicine utilizing the concept of peer teaching in medical education. Advances in Medical Education and Practice, 2017;8:785-789.
https://doi.org/10.2147/AMEP.S149450
PMid:29263711 PMCid:PMC5724516

Cite this article: Ruchira Sethi, Shweta Jha, Alok Tripathi, Vimala Venkatesh. Effectiveness of Peer Assisted Learning on Academic Performance of First Phase Medical Students in Comprehending Difficult Topics of Neuroanatomy. Int J Anat Res 2024;12(4):9049-9056. DOI: 10.16965/ijar.2024.202