Perception and Confidence Levels of Undergraduate Dental Students at Jordan University in Key Dental Procedures and the Impact of Competency Implementation on Their Confidence Levels: Part 2
DOI:
https://doi.org/10.35516/jmj.v59i5.2744الكلمات المفتاحية:
level of confidence، key dental procedures، competency-based assessment system، endodontic procedures، oral surgery procedures، dental educationالملخص
Background and Purpose: A limited number of studies have assessed the level of confidence among final-year dental students regarding their ability to conduct key dental procedures. This study aims to assess the perception and confidence level of final-year dental students from the School of Dentistry at the University of Jordan to perform essential dental procedures across various dental disciplines and to assess the effect of competencies implementation in curricula on the confidence level of students.
Methods: Two cohorts of final-year dental students answered an electronic questionnaire: one group in 2016 before the implementation of the competency-based assessment system (group 1, n = 153), and the other in 2019 after the implementation of this system (group 2, n = 199). The two groups were compared regarding the degree of confidence in conducting key dental procedures. The data were analyzed using SPSS statistics.
Results: Statistically significant differences were found between the two groups regarding confidence levels in four out of nine endodontic procedures included in this study (anterior teeth root canal treatment (RCT), interpreting the results of vitality tests, placing rubber dam (RD), diagnosing irreversible pulpitis) and in five out of 15 oral surgery procedures considered herein (performing surgical extraction, local infiltration, simple extraction, simple suturing, prescribing medication for acute dental infection). These differences were all in favor of group 1 except for only one procedure (performing surgical extraction).
Conclusion: This study showed that the implementation of a competency-based system at the University of Jordan is largely not useful if not counter-productive with regard to the student's level of confidence when performing endodontic or surgical procedures. The results also showed that dental students generally have high confidence levels in doing simple dental procedures and less confidence in more complex ones. Thus, additional focus on such complex procedures is advised during post-graduation training and before entitlement for practice licensing.
المراجع
AlHamoudi, S.S., AlRashidi, S.N., AlHarbi, H.A., AlNaji, N.J., AlMohammed, M.A., & Ansari, S.H. (2021). Confidence in performing endodontic treatment and perception of the quality of endodontic education. Archives of Pharmacy Practice, 2(12), 94-98.
Ali, K., Slade, A., Kay, E., Zahra, D., & Tredwin, C. (2017). Preparedness of undergraduate dental students in the United Kingdom: a national study. British Dental Journal, 6(222), 472-477.
Al-Dajani, M. (2015). Dental students' perceptions of undergraduate clinical training in oral and maxillofacial surgery in an integrated curriculum in Saudi Arabia. Journal of Educational Evaluation for Health Professions, 12, 45.
Alrahabi, M. (2017). The confidence of undergraduate dental students in Saudi Arabia in performing endodontic treatment. European Journal of Dentistry, 11(01), 017-021.
Association, A.D.E. (2011a). ADEA foundation knowledge and skills for the new general dentist. Journal of Dental Education, 75(7), 936-940.
Association, A.D.E. (2011b). ADEA Competencies for the New General Dentist “As approved by the 2008 ADEA House of Delegates.”. Journal of Dental Education, 75(7), 932-935.
Baaij, A., et al. (2020). Self-efficacy of undergraduate dental students in endodontics within Aarhus and Amsterdam. International Endodontic Journal, 53(2), 276-284.
Bartlett, D.W., et al. (2001). Experiences and perceptions of vocational training reported by the 1999 cohort of vocational dental practitioners and their trainers in England and Wales. British Dental Journal, 191(5), 265-270.
Bateman, H., et al. (2016). Developing assessment: involving the sessional clinical teacher. British Dental Journal, 220(3), 129-132.
Bennani, F., Loeffel, D., & Watters, T. (2014). Final-year undergraduate dental students' confidence in oral surgery. New Zealand Dental Journal, 110(1), 16-20.
Cabbar, F., et al. (2019). Students’ perspectives on undergraduate oral surgery education. BMC Medical Education, 19(1), 265.
Chakradhar, A., et al. (2021). Self-confidence level among intern dentists in performing endodontic treatment procedures in Nepal. Kathmandu University Medical Journal (KUMJ), 19(74), 168-172.
Chambers, D.W. (1993). Toward a competency-based curriculum. Journal of Dental Education, 57(11), 790-793.
Council, A.D. (2010). Professional attributes and competencies of the newly qualified dentist. Australian Dental Council, June.
Cowpe, J., et al. (2010). Profile and competencies for the graduating European dentist–update 2009. European Journal of Dental Education, 14(4), 193-202.
Chuenjitwongsa, S., Oliver, R.G., & Bullock, A.D. (2018). Competence, competency-based education, and undergraduate dental education: a discussion paper. European Journal of Dental Education, 22(1), 1-8.
Davey, J., Bryant, S., & Dummer, P. (2015). The confidence of undergraduate dental students when performing root canal treatment and their perception of the quality of endodontic education. European Journal of Dental Education, 19(4), 229-234.
De Cleen, M.J., Schuurs, A.H., Wesselink, P.R., & Wu, M.K. (1993). Periapical status and prevalence of endodontic treatment in an adult Dutch population. International Endodontic Journal, 26, 112-119.
De Moor, R., et al. (2013). Undergraduate curriculum guidelines for endodontology. International Endodontic Journal, 46(12), 1105-1114.
Durham, J.A., et al. (2007). Assessing competency in Dentoalveolar surgery: a 3-year study of cumulative experience in the undergraduate curriculum. European Journal of Dental Education, 11(4), 200-207.
Elmanaseer, W.R., et al. (2023). Dental Students' Perception and Self-Perceived Confidence Level in Key Dental Procedures for General Practice and the Impact of Competency Implementation on Their Confidence Level, Part I (Prosthodontics and Conservative Dentistry). International Journal of Dentistry, 2023, 2015331.
Gerrow, J.D., Murphy, H.J., & Boyd, M.A. (2007). Review and revision of the competencies for a beginning dental practitioner in Canada. Journal of the Canadian Dental Association, 73(2).
Gilmour, A.S., Welply, A., Cowpe, J.G., Bullock, A.D., & Jones, R.J. (2016). The undergraduate preparation of dentists: Confidence levels of final year dental students at the School of Dentistry in Cardiff. British Dental Journal, 6(221), 349-354.
Hayes, S., et al. (2001). An audit of root canal treatment performed by undergraduate students. International Endodontic Journal, 34(7), 501-505.
Henzi, D., et al. (2005). Appraisal of the dental school learning environment: the students' view. Journal of Dental Education, 69(10), 1137-1147.
Henzi, D., et al. (2006). North American dental students' perspectives about their clinical education. Journal of Dental Education, 70(4), 361-377.
Henzi, D., et al. (2007). In the students' own words: what are the strengths and weaknesses of the dental school curriculum? Journal of Dental Education, 71(5), 632-645.
Honey, J., et al. (2011). Ready for practice? A study of confidence levels of final year dental students at Cardiff University and University College Cork. European Journal of Dental Education, 15(2), 98-103.
Hunt, R.J., & Bushong, M. (2010). ADEA CCI vision focuses on preparing graduates for discoveries of the future. Journal of Dental Education, 74(8), 819-823.
Javed, M., Khan, A., & Bhatti, U. (2021). Evaluation of undergraduate dental students' self-perceived confidence level regarding endodontic procedures: A questionnaire survey. Saudi Endodontic Journal, 11(2), 228-234.
Kaufman, D.M. (2003). Applying educational theory in practice. BMJ, 326(7382), 213-216.
Khabbaz, M., Protogerou, E., & Douka, E. (2010). Radiographic quality of root fillings performed by undergraduate students. International Endodontic Journal, 43(6), 499-508.
Licari, F.W., & Chambers, D.W. (2008). Some paradoxes in competency-based dental education. Journal of Dental Education, 72(1), 8-18.
Macluskey, M., Durham, J., & Renton, T. (2006). Competency-based surgery. British Dental Journal, 201(7), 415-415.
Manakil, J., & George, R. (2011). Reviewing competency in dental education. International Journal of Dental Clinics, 3(2), 33-39.
Martin, J.A., et al. (1997). Objective structured assessment of technical skill (OSATS) for surgical residents. British Journal of Surgery, 84(2), 273-278.
Mossey, P.A., Newton, J.P., & Stirrups, D.R. (1997). Defining, conferring and assessing the skills of the dentist. British Dental Journal, 182(4), 123-125.
Murray, C.M., & Chandler, N.P. (2014). Undergraduate endodontic teaching in New Zealand: Students’ experience, perceptions and self‐confidence levels. Australian Endodontic Journal, 40(3), 116-122.
Murray, F.J., Blinkhorn, A.S., & Bulman, J. (1999). An assessment of the views held by recent graduates on their undergraduate course. European Journal of Dental Education, 3(1), 3-9.
Puryer, J., et al. (2018). The confidence of undergraduate dental students when carrying out prosthodontic treatment and their perception of the quality of prosthodontic education. European Journal of Dental Education, 22(1), e142-e148.
Rafeek, R.N., et al. (2012). Radiographic evaluation of the technical quality of root canal fillings performed by dental students. Australian Endodontic Journal, 38(2), 64-69.
Rolland, S., Hobson, R., & Hanwell, S. (2007). Clinical competency exercises: some student perceptions. European Journal of Dental Education, 11(3), 184-191.
Seijo, M.O., et al. (2013). Learning experience in endodontics: Brazilian students’ perceptions. Journal of Dental Education, 77(5), 648-655.
Tanalp, J., Güven, E.P., & Oktay, I. (2013). Evaluation of dental students' perception and self-confidence levels regarding endodontic treatment. European Journal of Dentistry, 7(02), 218-224.
Thomas, S.J., et al. (2008). Is there an epidemic of admissions for surgical treatment of dental abscesses in the UK? BMJ, 336(7655), 1219-1220.
Walsh, L. (1999). Education of professionals-is there a role for a competency-based approach. Effective Teaching at University and Reflection on Practice, The University of Queensland, Teaching and Educational Development Institute, Women's College University of Queensland.
Woodmansey, K., Beck, L.G., & Rodriguez, T.E. (2015). The landscape of predoctoral endodontic education in the United States and Canada: results of a survey. Journal of Dental Education, 79(8), 922-927.
Youngson, C.C., et al. (2007). Undergraduate requirements in restorative dentistry in the UK and Ireland. British Dental Journal, 203(5 Suppl), 9-14.
