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Peer-supported or paired learning

If handled sensitively, peer-supported observation and feedback can be relatively easy ways to start establishing a culture where communication and relationships capability is continually improved. Ground rules or guiding principles are vital for success. The sections on Reviewing and Giving feedback outlines some practical points that apply equally to peers reviewing and giving feedback on each other's practice.

Practice-based, Peer-supported, or Paired Learning

Advantages Challenges
Time required is less than that for external or session-based learning. Opportunities/suitable pairings do not always arise.
Patient encounters are real. Difficult for practitioner to reflect on own capability if not recorded (but recording needs written consent).
Practitioner can be more open to reflection on areas which need improvement as not linked to appraisal/career progression. Patient's real agenda is unknown so can be difficult to be sure whether the practitioner has gotten to the heart of their concerns/issue (unlike invented case studies where the patient history can be fully planned).
Can be done with a trusted peer.
Only verbal consent of patient is needed.
Can be done as a shared process where practitioners get to practise giving and receiving feedback.