Understanding student concerns about peer physical examination using an activity theory framework

Medical Education
Andy M WearnAnna K Vnuk

Abstract

Peer physical examination (PPE) has been employed for several decades as part of the formal curriculum for learning clinical skills. Most of the existing studies exploring students' attitudes towards PPE are single-site and use quantitative methods. Currently, there is a lack of theoretical underpinning to PPE as a learning method. Using an adaptation of the Examining Fellow Students questionnaire, we captured qualitative data from Year 1 medical students about their views and concerns around learning using PPE. The study was set in six schools across five countries (the UK, Australia, New Zealand, Japan and Hong Kong). Students provided free text comments that were later transcribed and analysed using framework analysis. A total of 617 students provided comments for analysis. This paper focuses on several related themes about the complexities of students' relationships within the context of PPE and their reflections on peer examination in comparison with genuine patient examination. Students drew parallels and differences between the peer examiner-examinee relationship and the doctor-patient relationship. They explained how these two types of relationship differed in nature and in terms of their levels of interaction. Our find...Continue Reading

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Citations

Oct 18, 2012·Advances in Health Sciences Education : Theory and Practice·Gordon James Hendry
Mar 5, 2014·Perspectives on Medical Education·Janneke M FrambachCees P M van der Vleuten
Apr 5, 2011·Medical Teacher·Rachel H Ellaway, David Davies
Aug 18, 2012·Anatomical Sciences Education·Esther M BergmanCees P M van der Vleuten
Nov 10, 2012·Medical Teacher·Christoph PimmerGünter Burg
Oct 2, 2014·Advances in Health Sciences Education : Theory and Practice·Deirdre BennettMartina Kelly
Jul 13, 2016·Chiropractic & Manual Therapies·Brett Vaughan, Sandra Grace
Jul 21, 2016·Advances in Health Sciences Education : Theory and Practice·Anna K VnukCharlotte E Rees
Feb 7, 2017·Medical Education·Lara VarpioJoanna Bates
Jan 23, 2017·Nurse Education Today·Sandra GraceLynette Stockhausen
Mar 7, 2018·Chiropractic & Manual Therapies·Brett Vaughan, Sandra Grace

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