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Related Experiment Video

Updated: Jul 18, 2025

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Near-peer teaching in simulation.

Laura Malmut1,2, Alvin Ng1,2

  • 1MedStar National Rehabilitation Hospital, Washington, DC, USA.

The Clinical Teacher
|August 26, 2023
PubMed
Summary

Near-peer teaching effectively supplemented faculty lectures in a physical medicine and rehabilitation (PM&R) simulation curriculum. Junior residents reported significant knowledge gains and improved patient management skills, highlighting the value of this educational approach.

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Area of Science:

  • Medical Education
  • Simulation-Based Learning
  • Near-Peer Teaching

Background:

  • Simulation curriculum development and implementation are resource-intensive, with limited faculty time being a major barrier.
  • Near-peer teaching offers a viable solution to address increased teaching demands in simulation-based medical education.
  • This approach can supplement faculty instruction, especially when faculty availability is scarce.

Purpose of the Study:

  • To implement and evaluate a near-peer simulation curriculum for junior physical medicine and rehabilitation (PM&R) residents.
  • To assess the effectiveness of senior residents as near-peer educators for high-acuity, low-opportunity events.
  • To gauge resident perceptions of teaching effectiveness and knowledge acquisition.

Main Methods:

  • A near-peer simulation curriculum was developed and delivered by senior residents to junior PM&R residents.
  • Senior resident facilitators received specific training in simulator logistics, debriefing, and formative assessment.
  • A post-course questionnaire using a 5-point Likert scale evaluated teaching effectiveness and perceived knowledge gain.

Main Results:

  • Junior residents rated near-peer teaching effectiveness highly (mean 4.66/5.0).
  • Senior residents reported increased confidence in their knowledge after teaching (mean 4.6/5.0).
  • Junior residents demonstrated significant improvements in perceived knowledge and patient management skills (p=0.005).

Conclusions:

  • Near-peer teaching is a valuable and effective method for delivering simulation-based medical education.
  • This model successfully enhanced junior residents' learning and confidence in managing complex clinical scenarios.
  • The study supports the use of near-peer educators to overcome faculty limitations in simulation training.