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Table 1 Peyton’s four step approach to skills teaching [7]

From: Tips for teaching procedural skills

Peyton’s four step approach

1. Demonstration: Instructor demonstrates the skill at normal speed and without additional comments.

2. Deconstruction: Instructor demonstrates the skill by breaking it down into simple steps, while describing each step.

3. Formulation: Instructor demonstrates the skills whilst being ‘talked through’ the steps by the learner.

4. Performance: Student demonstrates the skill, while describing each step.