# A Near-Peer Mentorship Program that Sustains a Student-Faculty Partnership Co-creating Curriculum-Aligned Formative Multiple-Choice Questions in Preclinical Medical Education

## TL;DR

A student-faculty partnership called PREP creates and shares free, curriculum-aligned multiple-choice questions for preclinical medical students, using a sustainable mentorship model.

## Contribution

The novel contribution is a sustainable near-peer mentorship program that enables students to co-create high-quality formative questions for preclinical medical education.

## Key findings

- PREP has maintained productivity across three medical school classes.
- The mentorship program effectively trains new members to create formative questions independently.
- The program's workflow is sustainable and could be adopted by other institutions.

## Abstract

Professor-Reviewed Exam Practice (PREP) is a student-faculty partnership that co-creates curriculum-aligned formative questions for the entire preclinical medical school class to use in active learning. PREP has sustained its productivity over three medical school classes. Here we describe PREP’s recruitment process and its near-peer mentorship program that prepares new members to independently create PREP-style formative questions. PREP’s productivity and the utilization of its formative questions across classes is evaluated, demonstrating that the workflow is sustainable. We believe that this program could be adopted by other schools to broaden the availability of free curriculum-aligned formative questions in preclinical medical education.

The online version contains supplementary material available at 10.1007/s40670-025-02406-8.