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August 23, 2026CureusOpen Access

Standardized Near-Peer Clinical Skills Training for Seven Student-Run Clinics: Assessing Impact on Student Confidence

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Authors

JBJared BoetesPKParker KronenKPKyle Polen

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Overview

Prospective educational evaluation demonstrates significant increases in clinical confidence among first-year medical students, indicating the scalability of standardized near-peer training.

Key Points

  • To evaluate whether a standardized and centrally coordinated near-peer clinical skills curriculum improves first-year medical students' self-reported confidence across seven student-run clinics.
  • Developed three standardized modules (Vital Signs, History Taking and Patient Presentations, and Physical Exam) featuring didactic instruction and hands-on practice led by near-peer educators.
  • Administered 5-point Likert scale surveys assessing self-reported confidence and perceived training effectiveness at pre-training, post-training, and two-month post-clinic timepoints.
  • Self-reported confidence significantly increased across all modules (p<0.01), with vital signs rising from 2.69 to 4.60 post-training (paired n=65) and history taking rising from 3.03 to 4.44 (paired n=59).
  • Confidence gains were sustained at two-month follow-up for vital signs (4.48, paired n=25) and history taking (4.17, paired n=18), while physical exam confidence improved from 2.08 to 4.46 post-training (paired n=26).
  • Perceived effectiveness was high, with 92.3% (vital signs), 86.4% (history taking), and 80.8% (physical exam) of students strongly agreeing that the near-peer model was effective.

Cite This Study

Boetes et al. (2026) studied this question.

synapsesocial.com/papers/6a8aad667677a34114445831https://doi.org/10.7759/cureus.114881
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