Abstract: Objective To assess the application effect of Peyton's four-step teaching method in clinical internship training of urology. Methods Ten clinical interns rotated in urology department of Peking Union Medical College Hospital from April 2023 to February 2024 were randomly divided into a study group and a control group with seven in each. The study group used Peyton′s four-step teaching method while the control group used classical method. After one month of rotating training, two groups of interns were evaluated by theoretical test and clinical skill assessments, and a survey by questionnaire was performed to evaluate the effectiveness of the training. Results The theoretical scores of the study group and the control group were 93.60±3.05 vs 91.80±2.39 and the clinical skills assessment scores were 92.00±1.87 vs 86.80±3.27,the difference was statistically significant (P＜0.05). In terms of clinical skills, there was a significant improvement in clinical performance. The results of questionnaire survey showed that the Peyton's teaching group is more comfortable by both trainees and trainers, as compared to that of control group. Conclusions The application of the Peyton's four-step teaching method significantly improves operational skills of the trainees. Both the faculty staff and students are satisfied with the Peyton′s four-step teaching method, which is suitable for clinical application in urology internship training.

Key words: Peyton's four-step teaching method, urology, theory, operational skills, survey questionnaire