Improving undergraduate education in surgical paediatrics using near-peer assisted learning tutorials
Dale Jimi Gracie1, Gillian Winter2, Melanie Clare Caroline Clarke3
1Core Surgical Trainee, Department of Surgical Paediatrics, Royal Aberdeen Children's Hospital, UK.
Scottish Medical Journal
|February 18, 2021
Summary
Implementing a structured near-peer assisted learning (NPAL) program in pediatric surgery effectively increased curriculum coverage. This approach enhanced junior staff teaching engagement and reduced reliance on senior consultants.
Area of Science:
- Medical Education
- Surgical Training
- Pediatric Surgery
Background:
- Near-peer assisted learning (NPAL) is a favored method for medical student education, offering benefits to both educators and learners.
- NPAL was identified as suitable for delivering the pediatric surgical curriculum, especially given short placement durations.
- Structured tutorials were proposed to ensure comprehensive curriculum coverage.
Purpose of the Study:
- To evaluate the impact of a structured NPAL program in pediatric surgery.
- To assess changes in reliance on senior staff for teaching.
- To measure the increase in junior staff (surgical, GP, foundation trainees) engagement in teaching.
- To determine the effect on overall curriculum coverage.
Main Methods:
- Curriculum outcomes were defined, and tutorials were developed for junior staff delivery.
- Pre- and post-intervention questionnaires were administered to students during their rotations.
- Data from 70 student responses (23 pre, 47 post) were analyzed.
Main Results:
- Reliance on consultant teaching decreased by 29%.
- Engagement in teaching by surgical, GP, and foundation trainees increased by 29%, 43%, and 9%, respectively.
- Overall curriculum coverage improved by 12%.
Conclusions:
- A structured near-peer assisted tutorial program is effective for enhancing medical curriculum coverage.
- The NPAL program demonstrated benefits for both tutors and learners.
- The initiative successfully increased junior staff involvement in teaching and lessened the burden on consultants.


