COMPETENCY ASSESSMENT OF CLINICAL APPROACH DURING PRIMARY SPECIALIZATION IN DENTISTRY: INTEGRATED LICENSING EXAM
Keywords:
dental education, primary specialization, interns, learning monitoring system, integrated licensing examAbstract
There is a growing body of literature that recognizes the importance ofcompetency-basedtesting formats in dental education. A key aspect of learning process in Dentistry is the ability of applying theoretical knowledge to clinical approach with advanced development of practical skills. It has previously been observed that usage of the multiple-choice questionnaire can lead to superficial learning. The main disadvantage of such assessment is that theoretical knowledge is more important than practicalskills and passiverecognition is possible because of givencorrect responses. The specific objective of this study was to discoverthe ways of improving the test context for developing clinical reasoning, professional thinking and self-confidence.
professional thinking and self-confidence.
References
Gerhard-Szep S, Güntsch A, Pospiech P, et al. Assessment formats in dental medicine: An overview. GMS Journal for Medical Education. 2016;33(4):Doc65. doi:10.3205/zma001064.
Degerfält J, Sjöstedt S, Fransson P, Kjellén E, Werner MU. E-learning programs in oncology: a nationwide experience from 2005 to 2014. BMC Research Notes. 2017;10:39. doi:10.1186/s13104-017-2372-8.
Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Internet-based learning in the health professions: a meta-analysis. JAMA. 2008;300:1181–96.
Hong B, Plugge E. Critical appraisal skills teaching in UK dental schools. Br Dent J. 2017 Feb 10;222(3):209-213. doi: 10.1038/sj.bdj.2017.126.
Surmon L, Bialocerkowski A, Hu WPerceptions of preparedness for the first medical clerkship: a systematic review and synthesis.BMC Med Educ. 2016 Mar 12;16:89. doi: 10.1186/s12909-016-0615-3.
Miller GE. The assessment of clinicalskills/competence/performance. Acad Med. 1990;65(9Suppl):S63–67. DOI: 10.1097/00001888-199009000-00045
Kopp V, Möltner A, Fischer MR. Key-Feature-ProblemezumPrüfenvon prozeduralemWissen: EinPraxisleitfaden. GMS Z MedAusbild. 2006;23(3):Doc50. Zugänglichunter/available from:http://www.egms.de/static/de/journals/zma/2006-23/zma000269.shtml.
Wass V, van der Vleuten C, Shatzer J, Jones R. Assessment ofclinical competence. Lancet. 2001;357(9260):945–949. DOI:10.1016/S0140 6736(00)04221-5
Considine J, Botti M, Thomas S. Design, format, validity andreliability of multiple choice questions for use in nursing researchand education. Collegian. 2005;12(1):19–24. DOI:10.1016/S1322-7696(08)60478-3
Memon MA, Joughin GR, Memon B. Oral assessment andpostgraduate medical examinations: establishing conditions forvalidity, reliability and fairness. Adv Health Sci Educ.2010;15(2):277–289. DOI: 10.1007/s10459-008-9111-9
Sadaf S, Khan S, Ali SK. Tips for developing a valid and reliablebank of multiple choice questions (MCQs). Educ Health.2012;25(3):195–197. DOI: 10.4103/1357-6283.109786
Weinman J. A modified essay question evaluation of pre-clinicalteaching of communication skills. Med Educ.1984;18(3):164–167. DOI: 10.1111/j.1365-2923.1984.tb00998.x
Khan MU, Aljarallah BM. Evaluation of Modified Essay Questions(MEQ) and Multiple Choice Questions (MCQ) as a tool forAssessing the Cognitive Skills of Undergraduate MedicalStudents. Int J Health Sci. 2011;5(1):39–43.
Ferguson KJ. Beyond multiple-choice questions: Using case-basedlearning patient questions to assess clinical reasoning. MedEduc. 2006;40(11):1143. DOI: 10.1111/j.1365-2929.2006.02592.x
Palmer EJ, Devitt PG. Assessment of higher order cognitive skillsin undergraduate education: modified essay or multiple choicequestions? Research paper. BMC Med Educ. 2007;7(1):49. DOI:10.1186/1472-6920-7-49
Fischer MR, Kopp V, Holzer M, Ruderich F, Jünger J. A modifiedelectronic key feature examination for undergraduate medicalstudents: validation threats and opportunities. Med Teach.2005;27(5):450–455. DOI: 10.1080/01421590500078471
Arnold RC, Walmsley AD. The use of the OSCE in postgraduateeducation. Eur J Dent Educ. 2008;12(3):126–130. DOI:10.1111/j.1600 0579.2008.00469.x
Pugh D, Touchie C, Wood TJ, Humphrey-Murto S. Progress testing:is there a role for the OSCE? Med Educ. 2014;48(6):623–631. DOI: 10.1111/medu.12423
Curtis DA, Lind SL, Brear S, Finzen FC. The correlation of studentperformance in preclinical and clinical prosthodontics assessments. J Dent Educ. 2007;71(3):365–372.
Graham R, Bitzer LA, Anderson OR. Reliability and PredictiveValidity of a Comprehensive Preclinical OSCE in Dental Education.J Dent Educ. 2013;77(2):161–167.
Macluskey M, Durham J, Balmer C, Bell A, Cowpe J, Dawson L,et al. Dental student suturing skills: a multicentre trial of achecklist-based assessment. Eur J Dent Educ.2011;15(4):244–249. DOI: 10.1111/j.1600-0579.2010.00665.x
Dennehy PC, Susarla SM, Karimbux NY. Relationship betweendental students' performance on standardized multiple-choiceexaminations and OSCEs. J Dent Educ. 2008;72(5):585–592.
Thornton S. A literature review of the long case and its variantsas a method of assessment. Educ Med J. 2012;4(1):5–11.
Durning SJ, Cation LJ, Markert RJ, Pangaro LN. Assessing thereliability and validity of the mini-clinical evaluation exercise forinternal medicine residency training. Acad Med.2002;77(9):900–904. DOI: 10.1097/00001888-200209000-00020
Gadbury-Amyot CC, McCracken MS, Woldt JL, Brennan RL. Validityand reliability of portfolio assessment of student competence intwo dental school populations: a four-year study. J Dent Educ.2014;78(5):657–667.