Abstract: Systematic structured peer assisted learning (PAL) is an organized learning behavior that students receive training and implement regulated learning. This study took the first-year residents as the trainees,an autonomous training plan was developed and carried out. After training, the residents' satisfaction was investigated by questionnaire, and a multi-station objective structured clinical examination (OSCE) was carried out to evaluate the training outcomes. The satisfaction investigation showed that the scores of training project organization, demonstration videos, assessment record book and peer leaders as instructors were (4.79±0.58),(4.74±0.67),(4.78±0.51) and (4.89±0.40) respectively, the differences were statistically significant compared with the test value 4 points (all P<0.05).While score of mutual electronic evaluation form was (4.11±1.47),and there was no significant difference compared with the test value 4 points(P=0.523). The passing rate of multi-station OSCE for practical skill was 88.0%(73/83), which was significantly higher than rate of baseline assessment 67.5%(56/83)(P=0.003). The systematic structured PAL-mode autonomous training project is quite feasible and can provide a useful reference for other residency training bases to implement large scale multi-item training program.

Key words: Clinical competence, Peer-assisted learning, Autonomous training, Resident