Monday, September 24, 2018

Student/Peer Facilitators


By: Dana E. Lee, PharmD
PGY-1 Pharmacy Practice Resident
Howard County General Hospital



What is peer facilitation?
Peer facilitation is a process where students or peer colleagues who are more advanced in their learning process facilitates or leads activities to support fellow colleagues' learning. Some examples of peer facilitation can be undergraduate TA's who facilitate class reviews or peer tutors who have just completed the same learning process. Another example would be fourth-year APPE students who can facilitate courses (ex: Abilities lab) for student pharmacists in year one to three of their pharmacy educational career.

Is student facilitation effective?
One study published in the American Journal of Pharmaceutical Education reviewed the impact of student versus faculty facilitators on motivational interviewing student outcomes. Faculty and student facilitators were both asked to teach second-year pharmacy students about motivational interviewing (MI) and then the second-year pharmacy students self-assessed their attitudes, confidence, and competence in MI skills.1 The students in the study had said that faculty facilitators may be more intimidating and less relatable whereas student facilitators made them feel more comfortable.1 The study concluded that peer facilitation can be equally as effective as faculty facilitation. This suggested equivalence can provide an opportunity to utilize more student facilitators and lessen faculty workload.1

In a recent study published in the Currents in Pharmacy Teaching and Learning, second year pharmacy students were used to introduce a pharmaceutical care model to first year students. The study had shown that peer teaching events outside a lecture hall can allow for effective learning, connections to be made between the student facilitator and other students, and allow for relevant advice to be provided from peers who have just gone through the same curriculum.2 Other studies have also shown that peer-to peer learning provides not only professional support but emotional and personal support as well.3 Not only can be it be effective for the students who are learning from their peer facilitators, but the students who are facilitating the learning of their peers have an opportunity to review their own knowledge, skills, and practices.4

Perspective:
Aristotle had recognized peer instruction to be beneficial, so this is not a new concept. Students appreciate the chance to work with peer facilitators and can obtain help from peer facilitators about other classes that students are taking.5 It has also been shown that students who are less vocal with faculty feel more comfortable to ask questions with peer facilitators.6

Personally, I had the privilege of being a peer student facilitator during my third year and fourth year of pharmacy school. I not only facilitated abilities lab for one full year, I was able to create assignments, and be involved with creating and implementing instructional materials. It gave me an ability to connect with students, provide advice that is more relevant for the students, and allowed me to grow not only as a student but also as a leader. I was able to review material for myself but also see students at eye level with their questions because I had recently experienced the same learning material. Therefore, peer facilitation can be beneficial for the students, the professors who are utilizing them, and for student facilitators themselves. Students who are peer educators can become great partners to the professors who are teaching the courses and grow in leadership.7 Student facilitators can also restructure material and provide feedback about the courses they are facilitating8 thus can be a valuable evaluation tool for the professor's instructional methods as well. 

So if the use of peer facilitation is quite effective and equally efficacious to faculty teaching, this begs the question, why don't we get more students involved in peer teaching? It is time for us to consider how we can really advocate for more student involvement in active learning activities. This can lessen faculty workload and be great learning experiences for the students. Integration of student peer facilitation in instructional design or as methods of instructional delivery should continue to be utilized and considered for current and future learning activities, as it may be of benefit for all parties involved.



References:
1.   Widder-Prewett, R, Draime, JA, Cameron G, Anderson, D, Pinkerton M, Chen, AMH. Impact of student vs. faculty facilitators on motivational interviewing student outcomes. Am J Pharm Educ. 2017; 81(6): Article 107. https://www.ajpe.org/doi/abs/10.5688/ajpe816107

2.   Kolar, Claire, Hager, Keri, Janke, Kristin. Using peer teaching to introduce the Pharmaceutical care model to incoming pharmacy students. 2018 Feb 10(2): 170-77. https://www.sciencedirect.com/science/article/pii/S1877129717300199

3.   Biech, Elaine. Chapter 14: Peer-to-peer learning. Wiley. 2015 May. https://onlinelibrary.wiley.com/doi/pdf/10.1002/9781119154761.ch14

4.   Burgess, Annette, Diggele Christie van, Mellis Craig. Students as facilitators in a teacher training program: motivation for leadership roles. Adv Med Educ Pract. 2015;6: 615-620.


6.   Campbell, Elaine. Students as facilitators: an evaluation of student-led group work. Practitioner Research in Higher Education. 2015. 9(1): 52-58. https://files.eric.ed.gov/fulltext/EJ1130318.pdf

7.   Owen, Julie. Peer educators in classroom settings: effective academic partners. Wiley. New Directions for Student Services. 18 Mar 2011. https://onlinelibrary.wiley.com/doi/pdf/10.1002/ss.384

8.   Ashwin, Paul. Peer facilitation and how it contributes to the development of a more social view of learning. Research in Post-Compulsory Education. 2008. 8(1): 5-18. https://doi.org/10.1080/13596740300200137

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