Medical student–run education: the next steps
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* Kieran Walsh

The recently published paper by Li and colleagues1 offers interesting insights into the potential for medical student–run medical education. The medical student–run provision was popular and the researchers were able to show significantly more interest statistically in surgical careers in the intervention group. However, the researchers are also correct that further qualitative analysis of their data should prove useful. The limited qualitative data that they have provided are tantalizing. The learners felt that the senior medical students were good role models and clearly felt more empowered to ask them questions. Conversely, the teaching staff was perceived as being more cutting-edge, albeit limited by staff time constraints. It would likely prove fruitful if further qualitative research could delve into these thoughts and reflections. Such qualitative research is unlikely to find that one form of education is better than another, but it might tease out the exact outcomes that are most effectively and efficiently achieved with student-delivered and staff-delivered learning. A learning package could then be put together, taking the best features of both forms of delivery. This package could then be evaluated.

Another point of note is that the researchers understandably concentrated on the learner outcomes; however, it would be interesting also to hear the feedback of the student educators. It would be interesting to know whether they felt positive about the experience, whether they consolidated their own knowledge and skills by teaching others, and whether they developed teaching skills themselves. This would be a secondary but still worthwhile outcome. As soon as students graduate and become doctors, they are automatically expected to begin teaching juniors, so any experience that they can obtain as undergraduates would likely prove useful. Many of the teaching skills that they develop are also transferable skills (e.g., communication and presentation skills). These are yet more reasons to encourage the involvement of students in the teaching process.

## Reference

1.  Li JZ, Chan SC, Au M, et al.Review of a medical student-run surgery lecture series and skills lab curriculum.Can J Surg 2014;57:152–4.