Welcome to visit Zhongnan Medical Journal Press Series journal website!
Zhongnan Medical Journal Press Series of Journals Center for Evidence-Based and Translational Medicine of Wuhan University

The title
  • The title
  • The keywords
  • The author
Submit中文版

HomeArticlesVol 36,2026 No.9Detail

Application effect of Peyton's teaching method in clinical practice teaching in China: a Meta-analysis

Published on Sep. 29, 2026Total Views: 431 timesTotal Downloads: 164 timesDownloadMobile

Author: LONG Qi 1, 2 WANG Yumei 2, 3 DING Hui 4 CHENG Min 1, 2

Affiliation: 1.Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China 2.Education and Research Office of Internal Medicine, The First Clinical College of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China 3.Department of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China 4.Student Affairs Office, The First Clinical College of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China

Keywords: Peyton's teaching method Traditional teaching Practical teaching Medical students Meta-analysis

DOI: 10.12173/j.issn.1004-5511.202601044

  • Abstract
  • Full-text
  • References
Abstract

Objective To systematically evaluate the application effect of Peyton's teaching method in clinical practice teaching in China.

Methods PubMed, CNKI, WanFang Data, and VIP databases were electronically searched to collect randomized controlled trials (RCTs) on the application of Peyton's teaching method in clinical practice teaching in China from inception to December 1, 2025. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias in included studies, and Meta-analysis was performed using RevMan 5.3 software.

Results A total of 9 RCTs involving 480 participants were included. The results of Meta-analysis showed that the Peyton's teaching method group was superior to medical students in the traditional teaching group in theoretical scores [SMD=0.76, 95%CI (0.09, 1.44)], clinical practice skills scores [SMD=1.03, 95%CI (0.52, 1.55)], learning interest [SMD=1.07, 95%CI (0.74, 1.39)], learning motivation [SMD=1.19, 95%CI (0.82, 1.56)], and course satisfaction [SMD=0.60, 95%CI (0.34, 0.86)].

Conclusion The application of Peyton's teaching method can improve medical students' theoretical and clinical practice skill scores, and help enhance their learning interest, motivation, and course satisfaction.

Full-text
Please download the PDF version to read the full text: download
References

1. KotsisSV, ChungKC. Application of the "see one, do one, teach one" concept in surgical training[J]. Plast Reconstr Surg, 2013, 131(5): 1194-1201.

2. KearneyGP, GardinerN, CarrD, et al. See one, do one, teach one: other professionals don't accept this so why should the medical profession?[J]. BMJ, 2025, 389: r432.

3. LackeyTG, AbazaMM. Is "see one, do one, teach one" the best way to learn procedures?[J]. Laryngoscope, 2024, 134(1): 1-2.

4. AroraB, SchoonoverA, BushC, et al. Peyton's model: modifications and applications for teaching clinical skills[J]. Acad Med, 2023, 98(4): 533.

5. NikendeiC, HuberJ, StiepakJ, et al. Modification of Peyton's four-step approach for small group teaching-a descriptive study[J]. BMC Med Educ, 2014, 14(1): 68.

6. 唐菲, 杨漂羽, 王萍, 等. Peyton四步教学法在医学教育中的应用研究进展[J]. 中华医学教育杂志, 2021, 41(8): 746-749.TangF, YangPY, WangP, et al. Research progress on the application of Peyton's four-step teaching method in medical education[J]. Chinese Journal of Medical Education, 2021, 41(8): 746-749.

7. 谢天, 宁敬谦, 栾智勇. Peyton四步教学法在医学教育领域的研究进展[J]. 中国医药导报, 2024, 21(19): 91-96,122.XieT, NingJQ, LuanZY. Research progress of Peyton's four-step teaching method in medical education[J]. China Medical Herald, 2024, 21(19): 91-96,122.

8. HigginsJPT, ThomasJ, ChandlerJ, et al. Cochrane Handbook for Systematic Reviews of Interventions Version 6.5[EB/OL]. (2024-10)[2025-03-20]. https://training.cochrane.org/handbook/archive/v6.5.

9. 张智, 李甲志, 黄海. Peyton教学法在腹腔镜基础技能操作教学中的应用[J]. 科教导刊, 2023, (26): 149-151.ZhangZ, LiJZ, HuangH. Application of Peyton teaching method in basic laparoscopic skills training[J]. The Guide of Science & Education, 2023, (26): 149-151.

10. 林春燕, 金少琴. 佩顿教学法在实习生腹腔穿刺术教学中的应用研究[J]. 中国高等医学教育, 2024, (11): 99-100.LinCY, JinSQ. Application of Peyton's teaching method in the teaching of abdominal paracentesis for interns[J]. China Higher Medical Education, 2024, (11): 99-100.

11. 董德鑫, 王文达. Peyton四步教学法在泌尿外科临床实习带教中的应用[J]. 基础医学与临床, 2024, 44(7): 1058-1060.DongDX, WangWD. Application of Peyton's four-step teaching method in clinical internship teaching of urology[J]. Basic & Clinical Medicine, 2024, 44(7): 1058-1060.

12. 刘向一, 杨琼, 叶珊, 等. 改良Peyton教学法在神经内科临床操作技能教学中的应用[J]. 中华脑血管病杂志(电子版), 2024, 18(2): 171-176.LiuXY, YangQ, YeS, et al. Application of improved Peyton's teaching method in clinical operation skills teaching of neurology[J]. Chinese Journal of Cerebrovascular Diseases (Electronic Edition), 2024, 18(2): 171-176.

13. 黄莉冰, 谢晓平, 梁娟清. 互联网+医教协同背景下佩顿四步法在住培医师培训中的应用[J]. 中国卫生产业, 2022, 19(24): 43-46.HuangLB, XieXP, LiangJQ. Application of Peyton's four-step approach to resident physician training in the context of internet+medical education collaboration[J]. China Health Industry, 2022, 19(24): 43-46.

14. 王沫, 舒畅, 卢朋, 等. 改良的Peyton四步教学法在血管外科超声诊断与治疗教学中的应用[J]. 继续医学教育, 2024, 38(12): 91-94.WangM, ShuC, LuP, et al. Application of modified Peyton four-step teaching method in the teaching of ultrasonic diagnosis and treatment in vascular surgery[J]. Continuing Medical Education, 2024, 38(12): 91-94.

15. 王佳佳, 詹韵韵, 姜凡, 等. Peyton四步教学法在超声住院医师规范化培训颈部淋巴结分区中的应用[J]. 中华医学超声杂志(电子版), 2024, 21(8): 814-818.WangJJ, ZhanYY, JiangF, et al. Application of Peyton's four-step teaching method in standardized residency training program for ultrasound segmentation of cervical lymph nodes[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(8): 814-818.

16. 张善福, 黄凯, 林垚, 等. 改良Peyton教学法在腹腔镜基本技能模拟培训中的应用[J]. 微创泌尿外科杂志, 2025, 14(2): 119-124.ZhangSF, HuangK, LinY, et al. Application of the modified Peyton's four-step teaching method in simulation training for basic laparoscopic skills: an evidence-based analysis[J]. Journal of Minimally Invasive Urology, 2025, 14(2): 119-124.

17. 郑亚萍, 刘觉. 改良Peyton四步教学法在口腔科临床试验教学中的应用[J]. 科教导刊(电子版), 2025, (29): 14-17.ZhengYP, LiuJ. Application of modified Peyton four-step teaching method in the teaching of clinical trials in stomatology[J]. The Guide of Science & Education (Electronic Edition), 2025, (29): 14-17.

18. 张黎, 杨光耀, 杨芬. CBL教学法和PBL教学法在本科医学临床课程中应用效果的Meta分析[J]. 中国继续医学教育, 2025, 17(5): 49-55.ZhangL, YangGY, YangF. Meta-analysis of the effect of CBL teaching method and PBL teaching method in the clinical course of medical undergraduates[J]. China Continuing Medical Education, 2025, 17(5): 49-55.

19. 何晓瑾, 汪悦, 周学平. 运用PBL模式优化医学专业临床课程教学初探[J]. 江苏高教, 2014, (5): 102-103.HeXJ, WangY, ZhouXP. Preliminary exploration on optimizing clinical course teaching in medical majors using PBL model[J]. Jiangsu Higher Education, 2014, (5): 102-103.

20. 董文霞, 徐冬妍, 徐德武, 等. 案例教学法在医学临床课程教学中的应用[J]. 中国继续医学教育, 2020, 12(25): 4-9.DongWX, XuDY, XuDW, et al. The application of case-teaching method in teaching of clinical medicine[J]. China Continuing Medical Education, 2020, 12(25): 4-9.

21. 林靖, 阿斯楞. 临床技能实训在医学生过程培养中的作用[J]. 医学研究与教育, 2024, 41(6): 68-74.LinJ, Asileng. The role of clinical skills training in the cultivation process of medical students[J]. Medical Research and Education, 2024, 41(6): 68-74.

22. 何伟, 张敏. 医学生临床实践技能教学的困境与策略[J]. 中国继续医学教育, 2021, 13(11): 91-95.HeW, ZhangM. The difficulties and strategies of teaching clinical practice skills to medical students[J]. China Continuing Medical Education, 2021, 13(11): 91-95.

23. 符奋, 陈淑芳, 姜萍, 等. 高仿真模拟教学在麻醉学临床教学中应用效果的Meta分析[J]. 中国医学教育技术, 2025, 39(1): 103-109.FuF, ChenSF, JiangP, et al. Meta-analysis of the application effectiveness of high-fidelity simulation teaching in clinical teaching of anesthesiology in China[J]. China Medical Education Technology, 2025, 39(1): 103-109.

24. 陈军仿, 李亚, 程玺. 虚拟现实技术联合情景模拟在气管插管操作教学中的应用[J]. 医疗装备, 2025, 38(13): 36-38.ChenJF, LiY, ChengX. Application of virtual reality technology combined with situational simulation in endotracheal intubation operation teaching[J]. Medical Equipment, 2025, 38(13): 36-38.

25. 孙超, 薛梦, 颜镇洪, 等. 虚拟现实联合模拟人教学模式在腰椎穿刺术技能培训中的应用[J]. 中国卒中杂志, 2023, 18(9): 1089-1093.SunC, XueM, YanZH, et al. Application of virtual reality combined with simulation mode in lumbar puncture skill training[J]. Chinese Journal of Stroke, 2023, 18(9): 1089-1093.

26. GiacominoK, CalieschR, SattelmayerKM. The effectiveness of the Peyton's 4-step teaching approach on skill acquisition of procedures in health professions education: a systematic review and Meta-analysis with integrated meta-regression[J]. PeerJ, 2020, 8: e10129.

27. BreunigM, KingsleyR, SchroederD, et al. The effect of Peyton's four-step method for teaching point-of-care ultrasound psychomotor skills: an experimental study[J]. Ultrasound J, 2025, 17(1): 58.

28. SturmR, ReebA, Wolf-YamamuraO, et al. Teaching rotary root canal instrumentation using a Peyton teaching approach[J]. Eur J Dent Educ, 2023, 27(4): 879-887.

29. JenkoM, FrangezM, ManohinA. Four-stage teaching technique and chest compression performance of medical students compared to conventional technique[J]. Croat Med J, 2012, 53(5): 486-495.

30. RomeroP, GüntherP, KowalewskiKF, et al. Halsted's "see one, do one, and teach one" versus Peyton's four-step approach: a randomized trial for training of laparoscopic suturing and knot tying[J]. J Surg Educ, 2018, 75(2): 510-515.

31. 方姝, 程鹤, 于学民, 等. 改良Peyton结合SET GO教学在耳鼻咽喉头颈外科护理实习教学中的应用价值[J]. 中华医学教育探索杂志, 2026, 25(1): 115-122.FangS, ChengH, YuXM, et al. Application value of modified Peyton combined with SET GO in nursing internship teaching in the department of otolaryngology head and neck surgery[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 115-122.

Popular Papers
© 2022 - 2026 Zhongnan Medical Journal Press of Zhongnan Hospital of Wuhan University|Support: Yufu Technology
About NM | Contact us