Evaluation of Peer Assisted Learning on the Outcome of Undergraduate Medical Exams at the University of Jos

Main Article Content

Sophia Atoshi Gani https://orcid.org/0009-0008-3803-5205
Joshua Adejo Okpanachi https://orcid.org/0009-0002-9480-6971
Moses Ahangba Adamgbe https://orcid.org/0009-0009-1023-0305
Inalegwu John Adole https://orcid.org/0000-0003-2486-6469
Nenkimun Dirting Bakwa https://orcid.org/0009-0004-0035-2070
Obiajulu Obidigbo Nwana https://orcid.org/0009-0005-7424-1557
Daniel Chibuzo Abiayi https://orcid.org/0000-0002-6065-3762
Gideon Ikemdinachukwu Anuligo https://orcid.org/0000-0003-2912-0404
Emmanuel Firima
Chukwuma Ikem Okoye https://orcid.org/0009-0005-9575-1476
Iorwuese Joshua Agbatse https://orcid.org/0009-0000-0143-9929
Glory Enoche Alapa https://orcid.org/0009-0008-6912-0672
Atarang Aposat Dafong https://orcid.org/0009-0008-2117-353X

Keywords

Peer Assisted Learning, Undergraduates, Medical examinations

Abstract

Background: Peer-assisted learning (PAL) is the development of knowledge and skill through active help and support among matched companions.This study was carried out to evaluate the effectiveness of PAL on the outcome of undergraduate medical exams among the final year medical students at the University of Jos.


Methodology: This was a retrospectivecohort study onfinal year medical students. Multivariable logistic regression was used to determine the association between PAL participation, sociodemographic characteristics, and the outcome in their 2nd, 3rd, 4th& 5th undergraduate exams, with a confidence interval of 95% and a level of significance at p value <0.05.


Results: A total of 120 students participated,with 72(60%) males(M) and 48(40%) females(F). Marital status: 102(85%) were single and 18(15%) married. Mean Age (SD) of participants: 29 (4.2) years. Good outcome in the final year exam was associated with gender, age, and marital status: F:M Odds Ratio(OR)= 3.9 (95% CI: 1.1–15, p=0.036); students<30 years:>30 years OR=7.2 (95% CI: 2.4–22.2, p<0.001); married:singles(OR=0.2, 95% CI: 0.1–0.4, p<0.001).The pass rate of students who participated in PAL varied from 59.0-84.5%, similar to the non-PAL students: 59.3-86.1%.There were no statistically significant associations between PAL participation and exam outcome across all examinations.There was a steady rise in the participation and pass rate over the years for those who engaged in PAL.


Conclusion: This study found no difference in exam pass rate among students who participated in PAL and those who did not. However, students who had a good exam outcome in the final year were either young, female, or unmarried. Also, PAL participation steadily increased over the years of the undergraduate training.

Abstract 99 | PDF Downloads 60 EPUB Downloads 44

References

1. Topping KJ. The effectiveness of peer tutoring in further and higher education: A typology and review of the literature. High Educ. 1996;32(3)321-345.
2. Knight JK, Wood WB. Teaching more by lecturing less. Cell Biol Educ. 2005;4(4):298-310.
3. Lujan HL, DiCarlo SE. Too much teaching, not enough learning: what is the solution? Adv Physiol Educ. 2006;30(1):17-22.
4. Wareing M, Green H, Burden B, Burns S, Beckwith MAR, Mhlanga F, et al. "Coaching and Peer-Assisted Learning" (C-PAL) - The mental health nursing student experience: A qualitative evaluation. J Psychiatr Ment Health Nurs. 2018;25(8):486-495.
5. Biggs J. Enhancing Teaching through Constructive Alignment. High Educ. 1996;32(3) 347-364.
6. Taheri M, Amini M, Delavari S, Bazrafkan L, Mazidimoradi J. Effect of Peer Assisted Learning (PAL) education on knowledge, attitude and behavior related to prevention and control of diabetes. BMC Res Notes. 2019;12(1):227.
7. Zhang Y, Maconochie M. A meta-analysis of peer-assisted learning on examination performance in clinical knowledge and skills education. BMC Med Educ. 2022;22(1):147.
8. Balta N, Michinov N, Balyimez S, Ayaz MF. A meta-analysis of the effect of Peer Instruction on learning gain: Identification of informational and cultural moderators. Int J Educ Res. 2017;86:66-77.
9. Gandhi A, Primalani N, Raza S, Marlais M. A model for peer-assisted learning in paediatrics. Clinical Teacher. 2013;10(5):291-295.
10. Morris T, Collins S, Hart J. Informal peer-assisted learning amongst medical students: A qualitative perspective. Clin Teach. 2024;21(4): e13721
11. Büscher R, Weber D, Büscher A, Hölscher M, Pohlhuis S, Groes B, et al. Evaluation of the peer teaching program at the University children’s hospital Essen - A single center experience. GMS Z Med Ausbild. 2013;30(2):Doc 25.
12. Thomas E. Clinical skills education: outcomes of relationships between junior medical students, senior peers, and simulated patients. Journal of Physical Therapy Education. 2009;23(1):82.
13. Kassab SE, Abu-Hijleh MF, Al-Shboul Q, Hamdy H. Student-led tutorials in problem-based learning: Educational outcomes and students’ perceptions. Med Teach. 2005;27(6):521-526.
14. Shah I, Mahboob U, Shah S. Effectiveness Of Horizontal Peer-Assisted Learning In Physical Examination Performance. J Ayub Med Coll Abbottabad. 2017;29(4):559-565.
15. Knobe M, Holschen M, Mooij SC, Sellei RM, Münker R, Antony P, et al. Knowledge transfer of spinal manipulation skills by student-teachers: a randomised controlled trial. Eur Spine J. 2012 May;21(5):992–8
16. Tai J, Canny B, Molloy E, Haines T. Gender matters: Students’ perceptions of peer learning in clinical education. Focus Health Prof Educ Multi-Prof J. 2017 Apr 28;18(1):3.
17. Sethi I, Mastrogiacomo C, Baldelli P, Wackett A, Abdel-Misih S. Gender-Based Differences in Medical Student Self-Ratings of Clinical Performance. J Surg Res. 2024 Oct;302:286–92.
18. Hege I, Hiedl M, Huth KC, Kiesewetter J. Differences in clinical reasoning between female and male medical students. Diagnosis. 2023 May 15;10(2):100–4.
19. Egwuatu VE, Umeora OUJ. A comparative study of marital status on the academic performance of the female medical undergraduate in a Nigerian university. Niger Postgrad Med J. 2007 Sep;14(3):175–9.
20. Kolb DA. Experiential learning: Experience as the source of learning and development, . J Organ Behav. 1984;8(4):256.
21. Chaudhuri A, Ray B, Koner S. To Study the Effect of Peer Assisted Learning on Academic Performance and Perceived Stress Scores Among First MBBS Students in a College of West Bengal. Int J Res. 2018; 5(11):240-248.
22. Animola OV, Bello TO. Comparative Effectiveness of Mastery and Peer-to-Peer Learning Strategies in Improving Junior Secondary Students’ Learning Outcomes in Basic Science. Asian J. Adv. Res. Rep. 2019 Mar. 13;3(4):1-12.
23. Brierley C, Ellis L, Reid ER. Peer‐assisted learning in medical education: A systematic review and meta‐analysis. Med Educ. 2022 Apr;56(4):365–73

Most read articles by the same author(s)