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Introduction and Background: Attitude Ethics and communication (AETCOM) teaching learning methodology needs to be innovative, informal and realistic. Internalization and actualization is important for having a long term impact on their interactions with patients, relatives as well as professional interactions with colleagues. Peer Assisted Learning (PAL) is an effective teaching and learning tool used extensively for various curricular components in medical education worldwide. Objective: the purpose of study was to find feasibility of use of PAL as teaching and learning modality to administer AETCOM module in Physiology. Method: After approval from IEC, in this study first year MBBS students practiced peer assisted learning for AETCOM module in Physiology by 5 peer tutors and 45 peer tutees. Teachers role was to facilitate the PAL methodology learning and preparing the Peer tutors for smooth conduct of PAL sessions.  Study participants were evaluated using pre-validated five point Likert scale, structured short answer questions for PAL and AETCOM based case scenario and feedback questionnaire. Results: 42 MBBS students participated in the study. It was observed that peer tutees perceived PAL as interesting and innovative method for teaching and learning AETCOM module in Physiology. Open ended assessment showed that they had achieved desired score about understanding of the AETCOM module and PAL methodology. The feedback from facilitators also echoed the same with improvement in team learning behaviour and use of PAL technique not only for AETCOM but also for learning other curricular topics.  Conclusion: PAL can be used as novel teaching learning tool for AETCOM module in Physiology.

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