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Investigación en Educación Médica

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Investigación en Educación Médica
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2020, Number 34

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Inv Ed Med 2020; 9 (34)

Assessment of the Development of Clinical Competence in Pediatric Dentistry with the Objective Structured Clinical Examination

Espinosa-Vázquez O, Sánchez-Mendiola M, Leenen I, Martínez-González A
Full text How to cite this article

Language: Spanish
References: 23
Page: 53-62
PDF size: 592.19 Kb.


Key words:

Educational assessment, pediatric dentistry, clinical competence, psychomotor performance, standardized patients.

ABSTRACT

Introduction: Dentistry’s clinical competence involves domains that have been evaluated in combination, and it is difficult to identify which are better developed in the formative process.
Aim: To assess the development of clinical competence’s domains in dental students in Pediatric Dentistry subject.
Method: A pre-post study was performed in the Faculty of Dentistry at UNAM, Mexico City. Clinical competence was assessed before and after the fourth-grade Pediatric dentistry course with an Objective Structured Clinical Examination that consisted of 18 six-minutes stations, with rubrics from 4 to 20 criteria in 4 categories. Student’s t-test for paired samples was used to identify changes in the clinical competence and seven domains.
Results: 120 and 110 students participated in the preand post-assessment, respectively. 75% of students who participated pre, they also realized post. An improvement in clinical competence was observed (Pre-x= 43.7, Postx= 53.5; p ‹.0001). The domains mainly developed were: treatment plan (Pre- x= 39.9, Post-x=53.2) and technical skills (Pre-x= 49.4, Post-x=65.4).
Conclusions: The domains’ development assessment allows us to identify, in depth, the competences that are adequately developed and those that are not. The dentists’ professional training mainly focuses on the knowhow of technical-procedural skills. However, rethinking the educational strategies is required to develop the other clinical competence’s domains in an equitable manner.


REFERENCES

  1. Cowpe J, Plasschaert AJM, Harzer W, Vinkka-PPuhakka H and Walmsley AD. Profile and competences for the graduating European dentist – update 2009. Birmingham UK: Association for Dental Education in Europe; 2009.

  2. Plasschaert JM, Holbrook WP, Delap E, Martínez C and Walmsley AD. Profile and competences for the European dentist. Eur J Dent Educ. 2005;9:98-107.

  3. Albino JEN, Young SK, Neumann LM, Kramer GA, Andrieu SC, Henson L, Horn B and Hendricson WH. Assessing Dental Students’ Competence: Best Practice Recommendations in the Performance Assessment Literature and Investigation of Current Practices in Predoctoral Dental Education. JDentEdu 2008;72(12):1405-35.

  4. Harden R, Stevenson M, Downie WW, Wilson GM. Clinical competence in using objective structured examination. Br Med J. 1975;1:447-51.

  5. Harden RM, Gleeson FA. ASME medical educational booklet no 8: assessment of medical competence using an objective structured clinical examination (OSCE). J Med Educ. 1979;13:41-54.

  6. Harden R, Stevenson M, Downie WW, Wilson GM. Clinical competence in using objective structured examination. Br Med J. 1975;1:447-451.

  7. Trejo A, Blee G, Peña J. Elaboración de estaciones para el examen clínico objetivo estructurado (ECOE). Inv Ed Med. 2014;3(9):56-9.

  8. Bhowate R, Panchbhai A, Vagha S y Tankhiwale S. Introduction of objective structured clinical examination (OSCE) in dental education in India in the subject of oral medicine and radiology. J Educ Ethics Dent. 2014;4:23-7.

  9. Patrício M, Juliáo M, Fareleira F, Young M, Norman G and Vaz A. A comprehensive checklist for reporting the use of OSCEs. Medical Teacher. 2009;31:112-24.

  10. Downing SM y Haladyna TM. Twelve steps for effective test development. En: Handbook of Test Development. Lawrence Erlbaum Associates Inc. Publishers; 2006. p. 3-26.

  11. Näpänkangas R, Karaharju-Suvanto T, Pyörälä E, Harila V, Ollila P, Lähdesmäki R and Lahti S. Can the results of the OSCE predict the results of clinical assessment in dental education? Eur J Dent Educ. 2016;20:3-8.

  12. Schoonheim-Klein M, Mujitens A, Habets L, Manogue M, van der Vleuten C, Hoogstraten J, van der Velden U. On the reliability of a dental OSCE, using SEM: effect of different days. Eur J Dent Educ. 2008;12:131-7.

  13. Taguchi N, Ogawa T. OSCEs in Japanese postgraduate clinical training Hiroshima experience 2000-2009. Eur J Dent Educ. 2010;14:203-9.

  14. Larsen T, Jeppe-Jensen D. The introduction and perception of an OSCE with an element of self-and peer-assessment. Eur J Dent Educ. 2008;12:2-7.

  15. Schoonheim-Klein M, Habets L, Artman A., van der Vleuten C, Hoogstraten J, van der Velden U. Implementing an Objective Structured Clinical Examination (OSCE) in dental education: effects on students´ learning strategies. Eur J Dent Educ. 2006;10:226-35.

  16. Schoonheim-Klein M, Mujitens A, Habets L, Manogue M, van der Vleuten C. Who will pass the dental OSCE? Comparison of the Angoff and the borderline regression standard setting methods. Eur J Dent Educ. 2009;13:162-71.

  17. Harden R, Liley P, Patricio M. The definitive guide to the OSCE. The Objective Structured Clinical Examination as a performance assessment. Edinburgh: Elsevier; 2016.

  18. Sloan DA, Donnelly MH, Schwartz RW, Strodel WE. The Objective Structured Clinical Examination: the new gold standard for evaluating postgraduate clinical performance. Ann Surg. 1995;222:735-42.

  19. King A, Perkowsky R, Pohl H. Planning standardized patient programs: case development, patient training and costs. Teach Learn Medicine. 1994;6(1):6-14.

  20. Espinosa VO, Martínez GA, Díaz Barriga AF. Formas de enseñanza y evaluación utilizadas por los docentes de Odontología: resultados y su clasificación psicopedagógica. Inv Ed Med .2013;2(8):183-92.

  21. Espinosa VO, Martínez GA, Sánchez MM. Evidencias de validez para el Examen Clínico Objetivo Estructurado en Odontología en V Congreso Internacional de Educación Médica “Educación Médica en Las Américas”. Cancún, Q. Roo, México:2016.

  22. Espinosa VO, Martínez GA, Sánchez MM, Leenen I. Análisis de un examen clínico objetivo estructurado en odontología desde la teoría de la generalizabilidad. Inv Ed Med .2017;6(22):109-18.

  23. Espinosa VO. Evaluación de la competencia clínica de los estudiantes de odontología mediante el Examen Clínico Objetivo Estructurado. Doctorado. México: UNAM:2018. 274 p.




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Inv Ed Med. 2020;9