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Evaluation of peer teaching and deliberate practice to teach veterinary surgery
Nashua J Compton1, Julie A Cary1, John R Wenz1
1Washington State University College of Veterinary Medicine, Pullman, Washington.
Objective:
To assess the impact of peer teaching and deliberate practice on surgical skills acquisition and retention in first- and second-year veterinary students.
Study Design:
Randomized, prospective, comparative study.
Sample Population:
Eighteen first-year and 25 second-year students from 1 college of veterinary medicine who had previously demonstrated proficiency in basic surgical skills.
Methods:
Forty-three participants were divided into 3 groups: the test group (group A, n = 15), who participated in a structured peer-assisted learning program using deliberate practice; the time-practice control group (group B, n = 15), who participated in an unstructured peer-supported environment; and the assessment-only control group (group C, n = 13), who participated in the assessments. Participants performed a subcutaneous mass removal on a cadaver model and were assessed via a global rating system. Three assessment points were evaluated: pretraining, immediate posttraining, and retention.
Results:
The number of participants who achieved acceptable or excellent grand total scores in group A increased after training. Among all participants, 22% in group A, 35% in group B, and 38% in group C did not achieve an acceptable total score at the retention assessment.
Conclusion:
The study population improved in skill level and retention through the use of standardized video and peer instruction with attention to effective learning strategies, particularly deliberate practice.
Clinical Significance:
Use and enhancement of the format introduced in this study could augment veterinary surgical education.
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