Royal College of Surgeons in Ireland
Peer assessment to improve medical students contributions to tea.pdf (735.76 kB)

Peer assessment to improve medical student's contributions to team-based projects: randomised controlled trial and qualitative follow-up.

Download (735.76 kB)
Version 2 2021-10-12, 13:09
Version 1 2019-11-22, 15:47
journal contribution
posted on 2021-10-12, 13:09 authored by Regien Biesma, Mary-Claire Kennedy, Teresa PawlikowskaTeresa Pawlikowska, Ruairi BrughaRuairi Brugha, Ronan ConroyRonan Conroy, Frank DoyleFrank Doyle

BACKGROUND: Medical schools increasingly incorporate teamwork in their curricula but medical students often have a negative perception of team projects, in particular when there is unequal participation. The purpose of this study is to evaluate whether a novel peer evaluation system improves teamwork contributions and reduces the risk of students "free loading".

METHODS: A cluster randomised controlled trial (RCT) with qualitative follow up enrolled 37 teams (n = 223 students). Participating teams were randomised to intervention group (19 teams) or control group (18 teams). The validated Comprehensive Assessment Team Member Effectiveness (CATME) tool was used as the outcome measure, and was completed at baseline (week 2) and at the end of the project (week 10). The team contribution subscale was the primary outcome, with other subscales as secondary outcomes. Six focus group discussions were held with students to capture the team's experiences and perceptions of peer assessment and its effects on team work.

RESULTS: The results of the RCT showed that there was no difference in team contribution, and other forms of team effectiveness, between intervention and control teams. The focus group discussions highlighted students' negative attitudes, and lack of implementation of this transparent, points-based peer assessment system, out of fear of future consequences for relationships with peers. The need to assess peers in a transparent way to stimulate open discussion was perceived as threatening by participants. Teams suggested that other peer assessment systems could work such as rewarding additional or floating marks to high performing team members.

CONCLUSIONS: Other models of peer assessment need to be developed and tested that are non-threatening and that facilitate early acceptance of this mode of assessment.



The original article is available at

Published Citation

Biesma R, Kennedy MC, Pawlikowska T, Brugha R, Conroy R, Doyle F. Peer assessment to improve medical student's contributions to team-based projects: randomised controlled trial and qualitative follow-up. BMC Medical Education. 2019;19(1):371.

Publication Date


PubMed ID



  • Data Science Centre
  • Health Professions Education Centre
  • Health Psychology
  • Public Health and Epidemiology

Usage metrics

    Royal College of Surgeons in Ireland



    Ref. manager