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  • Training a practical skill - Peyton's 4 step approach

    In the context of Covid-19, you may be required to provide one-to-one, sometimes spontaneous training in high-pressure, time-critical settings. When teaching a practical skill, it is useful to have a framework to help guide you, particularly when training complex skills or procedures. It can also help you keep focus when under strain. 


    The Royal College of Surgeons recommends Peyton's 4-stage approach for teaching a practical skill, an evidence-based method, which allows trainers to assess their trainees’ understanding of what they are learning with each passing step. 


    The 4-stage approach is outlined in detail in the below resources, which include a concise PDF for easy reference, as well as a thorough video discussion of the 4-stage approach’s methodology and applicability between Paediatric Emergency Medicine Consultant and ATLS UK National Educator, Lara Zibners, and Royal College of Surgeons Educator, Elise Omfalos.

    Advice in the treatment of patients of Covid-19 is rapidly changing. We strongly advise in addition to the material in this resource bank, you refer to the latest guidance by PHE and NICE guidelines.


    Whilst the advice and information in this Resource Bank are believed to be true and accurate at the date of publishing, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made.


    The "Trainers' Toolkit" series and all associated materials are copyright of the Royal College of Surgeons of England

  • Peyton's 4-stage approach

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