Peer teaching of the physical exam: a pilot study

Area of Science:

• Medical Education
• Clinical Skills Training
• Postgraduate Medical Training

Background:

• Physical exam (PE) skills are crucial for residents but reports indicate a decline.
• There is a need for innovative approaches to PE teaching at the postgraduate level.

Purpose of the Study:

• To explore the use of peer observation of teaching (POT) as a framework for PE teaching.
• To develop an innovative approach to PE teaching in postgraduate medical education.

Main Methods:

• Designed and piloted bedside PE POT sessions with senior residents teaching junior residents.
• Utilized 11 validated measures of clinical teaching for feedback.
• Sessions were interactive and peer-led.

Main Results:

• Four pilot sessions were conducted, lasting 30-35 minutes each.
• Residents enthusiastically received the interactive approach and peer feedback.
• Participants gained insights into their PE teaching skills and teaching behaviors.

Conclusions:

• POT methodology provides an innovative approach to teaching PE at the postgraduate level.
• This method addresses core competencies in patient care and practice-based learning.
• POT has the potential to bridge the gap in PE teaching and learning, combating skill decline.