Peer-led instruction promotes community, equity, and student well-being
Samuel Steuart1, Tamara Kaplan2
1Harvard Medical School, 2Brigham and Women's Hospital
Objective:
N/A
Background:

Physicians serve individuals and communities. Yet our educational structure can promote excessive self-reliance and isolation. The widespread emphasis on self-directed learning, while valuable for fostering autonomy, causes students to shoulder disproportionate responsibility for identifying and filling knowledge gaps. In response, students rely on third-party, subscription-based resources, such as question banks and video series, to supplement their learning. These tools offer accessible, consolidated material that supports performance on high-stakes exams tied to graduation and residency. However, their widespread use obscures areas where the formal curriculum could align more with learners’ needs. Students pay financial and social costs for these resources. Subscription-based models disincentivize group study and resource sharing, thus weakening community and well-being while deepening access disparities.

Design/Methods:

To promote group study and equitable resource sharing, we launched a peer-led supplemental instruction program for our pre-clinical neuroscience course. An upper-year student led the program, attending all classes and developing a supplemental, interactive curriculum to facilitate semiweekly, one-hour high-yield review sessions. The sessions created safe, interactive spaces for all students, regardless of exam performance or preparation. Faculty did not attend, allowing students to learn without evaluation. Each week, faculty-approved materials were shared with all students, regardless of attendance.

Results:
Evaluation included informal interviews and a qualitative survey. All respondents reported increased peer study time, and most reported they would study with peers again. Three deeper lessons emerged. First, the majority of students felt more comfortable asking questions and participating in peer-led sessions compared to faculty-led sessions. Second, nearly all found peer-generated materials more effective at consolidating content than faculty-provided resources. Third, all students endorsed reduced exam anxiety, and an overwhelming majority said the evaluation-free environment improved their learning.
Conclusions:
These results highlight the unique roles of peer-led instruction in augmenting and addressing the limitations of faculty-led instruction and promoting community, equity, and student well-being.
10.1212/WNL.0000000000217810
Disclaimer: Abstracts were not reviewed by Neurology® and do not reflect the views of Neurology® editors or staff.