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Teaching human factors: a near-peer approach
Matthew J Aldridge1, Jeremy Purdell-Lewis1
1North Bristol National Health Service Trust, Bristol, UK.
The Clinical Teacher
|September 8, 2018
Summary
Near-peer tutors effectively deliver human factors and ergonomics (HFE) training to postgraduate doctors. This approach, supported by a handbook, yielded superior feedback and increased tutor confidence compared to traditional senior clinician-led courses.
Area of Science:
- Medical Education
- Human Factors and Ergonomics
- Postgraduate Training
Background:
- Human Factors and Ergonomics (HFE) is crucial for team performance in postgraduate medical education.
- Training is often limited by the availability of experienced senior clinician tutors.
- A lack of experienced tutors can constrain the provision of essential HFE training.
Purpose of the Study:
- To evaluate a near-peer tutor (NPT) approach for delivering HFE training to postgraduate doctors.
- To compare learner feedback on NPT-led HFE training with previous courses taught by senior clinicians.
- To assess the impact of a tutor handbook on NPT confidence and training delivery.
Main Methods:
- A classroom-based HFE course was delivered to 21 postgraduate doctors using NPTs in small groups.
- Learners discussed video reconstructions of incidents, applying HFE concepts to their practice.
- NPTs were guided by a handbook containing structured discussion prompts.
Main Results:
- Learner feedback was highly positive (5/5 Likert scores) for organization, content, teaching, and overall impression.
- Feedback was significantly better (p < 0.05) than for courses taught by senior tutors.
- NPT confidence ratings significantly increased from 4/10 to 8/10 after receiving the handbook.
Conclusions:
- Near-peer tutors can successfully deliver high-standard HFE training to postgraduate doctors.
- A supporting handbook enhances NPT confidence and effectiveness.
- HFE training does not necessitate senior clinicians, overcoming tutor availability constraints.
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