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Implementing an Objective Structured Clinical Examination (OSCE) in dental education: effects on students' learning
M E Schoonheim-Klein1, L L M H Habets, I H A Aartman
1Department of Periodontology, Academic Centre for Dentistry, Amsterdam (ACTA), the Netherlands. m.schoonheim@acta.nl
Summary
Objective Structured Clinical Examinations (OSCE) in dental education improved specific clinical skills and realistic self-assessment among students. While study strategies remained unchanged, OSCEs enhanced practical competence in managing periodontal diseases.
Area of Science:
- Dental Education
- Periodontology
- Clinical Competence Assessment
Background:
- Traditional written exams may not fully assess clinical skills in periodontology.
- Objective Structured Clinical Examinations (OSCE) offer a standardized method for evaluating clinical performance.
- The impact of OSCE implementation on dental students' learning strategies and competence requires investigation.
Purpose of the Study:
- To evaluate the effect of OSCE on dental students' learning strategies and competence in managing periodontal diseases.
- To compare the efficacy of OSCE against traditional Written Exams in fostering clinical competencies.
- To assess the influence of OSCE on study time, clinical proficiency, and self-assessment realism.
Main Methods:
- Seventy-two third-year dental students were divided into two groups: Written Exam and OSCE (P-OSCE).
- Students completed a questionnaire on self-assessed competence, study time, and strategies (manikin, peer, patient).
- Competence was assessed via an end-of-year OSCE with specific periodontal stations ('measuring pockets', 'educating patients', 'tracing X-ray').
Main Results:
- No significant differences were found in self-assessed competence, study time, or strategies between groups.
- The P-OSCE group demonstrated higher competence in 'measuring pockets' (P=0.05).
- The P-OSCE group exhibited a more realistic self-assessment, with self-assessed competencies correlating significantly with OSCE scores (P<0.05).
Conclusions:
- OSCE implementation in undergraduate periodontal education did not alter study strategies.
- OSCEs appear to stimulate learning, leading to improved specific clinical competence.
- OSCEs enhance the realism of self-assessment in dental students' clinical competence.
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