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.