Abstract: Peyton's four-step teaching method is widely used in education of clinical skills. At the present study, this method was introduced into musculoskeletal ultrasound training, and the effect of this training strategy was evaluated. Problems which may occur in the process were also searched in order to improve this method. Compared to traditional method, students accepted Peyton's four-step teaching method, namely demonstration, deconstruction, comprehension and performance all achieved better scores in both theory and skill tests. Peyton's four-step teaching method also stimulated students′ learning interest and improved their teaching skill. However, one-to-one teaching is inefficient and few mutual discussion and inspiration among group members. The modified Peyton's four-step method with group teaching will be optimized and applied in future research and application.

Key words: Peyton's four-step teaching method, musculoskeletal ultrasound, operational skill